| Advanced Therapy Care, Pllc | |
|
245 N 3rd E, Box 603, Mountain Home, ID 83647-2734 | |
| (208) 587-8255 | |
| (208) 587-5734 |
| Full Name | Advanced Therapy Care, Pllc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 245 N 3rd E, Mountain Home, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982878401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP1211 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Therapy Care, Pllc 245 N 3rd E, Box 603, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 | Advanced Therapy Care, Pllc 245 N 3rd E, Box 603, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 |
Miss Terri Lynn Grasham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Karissa Rutten, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Teresa Michelle Johnson, MS CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 | |
Rachelle Ruffing, MSCCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-599-2536 Fax: 208-587-5734 | |
Ms. Anna Gale Estes-waddell, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1653 Se Hamilton Rd, Mountain Home, ID 83647 Phone: 208-587-4658 | |
Makenzi Walsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-898-0988 | |
Jessica Cristobal, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 |