| Villa Pediatric Therapy Llc | |
|
8052 W Main St Unit 107, Rathdrum, ID 83858-4915 | |
| (208) 503-6173 | |
| (208) 712-6808 |
| Full Name | Villa Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 8052 W Main St Unit 107, Rathdrum, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689132375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Pediatric Therapy Llc Po Box 793, Rathdrum, ID 83858-0793 Ph: (208) 503-6173 | Villa Pediatric Therapy Llc 8052 W Main St Unit 107, Rathdrum, ID 83858-4915 Ph: (208) 503-6173 |
Mrs. Madeline Feenstra, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8052 W Main St, Rathdrum, ID 83858 Phone: 208-503-6173 Fax: 208-712-6808 | |
Elisha Wright, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8052 W Main St Unit 107, Rathdrum, ID 83858 Phone: 208-712-6808 | |
Mrs. Patricia M Salois, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1564 Washington Street, Rathdrum, ID 83858 Phone: 208-687-0431 |