| Karissa Rutten, MS CCC-SLP | |
|
245 N 3rd E, Mountain Home, ID 83647-2734 | |
| (208) 587-8255 | |
| (208) 587-4475 |
| Full Name | Karissa Rutten |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 245 N 3rd E, Mountain Home, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144638636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | TSLP-2595 (Idaho) | Primary |
| Provider Name | Advanced Therapy Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477786358 PECOS PAC ID: 6406049469 Enrollment ID: O20101022000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Karissa Rutten, MS CCC-SLP 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 | Karissa Rutten, MS CCC-SLP 245 N 3rd E, 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 | |
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 |