NPI 1144638636

Karissa Rutten, MSCCCSLP

Practitioner Speech-Language Pathologist Mountain Home, ID

Practice location

Address: 245 N 3rd E, Mountain Home, ID 83647-2734
Phone: (208) 587-8255
Fax: (208) 587-4475

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-2595 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1144638636
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2014
Record last updated: 10 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.