| Sprouted Therapy | |
|
533 E Riverside Dr Ste 102, Eagle, ID 83616-6621 | |
| (208) 992-5290 | |
| Not Available |
| Full Name | Sprouted Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 533 E Riverside Dr Ste 102, Eagle, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316640527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sprouted Therapy 533 E Riverside Dr Ste 102, Eagle, ID 83616-6621 Ph: (208) 992-5290 | Sprouted Therapy 533 E Riverside Dr Ste 102, Eagle, ID 83616-6621 Ph: (208) 992-5290 |
Mrs. Janet Houston Casabonne, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 E Winding Creek Dr, Suite 120, Eagle, ID 83616 Phone: 208-938-4748 Fax: 208-938-1710 | |
Miranda Sullivan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Abigail Klimkoski, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 935 E Winding Creek Dr Ste 120, Eagle, ID 83616 Phone: 208-938-4748 | |
Ashley Wright, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Nicole Clover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Danielle Marie Wallner, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-378-5430 | |
Katie Gray, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 E Winding Creek Drive, Suite 120, Eagle, ID 83616 Phone: 208-938-4748 Fax: 208-938-1710 |