Healthcare Provider Details

I. General information

NPI: 1720499320
Provider Name (Legal Business Name): CORTNEY HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2738 N IVY LN
POST FALLS ID
83854-5459
US

IV. Provider business mailing address

2738 N IVY LN
POST FALLS ID
83854-5459
US

V. Phone/Fax

Practice location:
  • Phone: 360-839-1697
  • Fax:
Mailing address:
  • Phone: 360-839-1697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number293267
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2132
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: