| Huckleberry Therapy Llc | |
|
6101 E Highway 54, Ste A, Athol, ID 83801-6085 | |
| (208) 994-3757 | |
| (208) 352-3921 |
| Full Name | Huckleberry Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 6101 E Highway 54, Athol, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720753460 | NPI | - | NPPES |
| 016962 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Huckleberry Therapy Llc 7425 E Tellum Ave, Athol, ID 83801-9293 Ph: (509) 496-3317 | Huckleberry Therapy Llc 6101 E Highway 54, Ste A, Athol, ID 83801-6085 Ph: (208) 994-3757 |
Axelle Emmanuelle Landis, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6333 E Menser Ave, Athol, ID 83801 Phone: 208-683-2231 | |
Sarah Desimone, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6101 E Highway 54 Ste A, Athol, ID 83801 Phone: 208-994-3757 Fax: 208-352-3921 | |
Lynne Kaulback Orange, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11111 E Arroyo Ln, Athol, ID 83801 Phone: 650-556-4225 |