| Valley Therapy Services, Inc. | |
|
167 Country Ln, Jerome, ID 83338-6147 | |
| (208) 324-2443 | |
| (208) 644-1167 |
| Full Name | Valley Therapy Services, Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 167 Country Ln, Jerome, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639343270 | NPI | - | NPPES |
| 808102900 | Medicaid | ID | |
| T9376 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1459 (Idaho) | Primary |
| Provider Name | Robert L Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639433352 PECOS PAC ID: 6507022209 Enrollment ID: I20120725000214 |
| Provider Name | Brent D Randall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497913123 PECOS PAC ID: 5294986105 Enrollment ID: I20121126000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Therapy Services, Inc. 167 Country Ln, Jerome, ID 83338-6147 Ph: (208) 324-2443 | Valley Therapy Services, Inc. 167 Country Ln, Jerome, ID 83338-6147 Ph: (208) 324-2443 |
Jackie Ann Thurman, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 E Avenue F, Jerome, ID 83338 Phone: 208-324-2443 | |
Tammy Emerson, MS CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 405 E Avenue A, Jerome, ID 83338 Phone: 208-308-5808 Fax: 208-324-3440 | |
Mrs. Malorie Stoker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 167 Country Ln, Jerome, ID 83338 Phone: 208-324-2443 | |
Mrs. Jasmine Brooke Brunson, M.S., CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 414 N Lincoln Ave Ste 5, Jerome, ID 83338 Phone: 208-324-2443 | |
Miss M. Lonnette Luper, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 E Avenue F, Jerome, ID 83338 Phone: 208-324-2443 | |
Mrs. Heather Torgerson, M. S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 E Avenue F, Jerome, ID 83338 Phone: 208-324-2443 |