MADISON GATES

CHUBBUCK, ID
NPI1063370054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   4171175)
Enumeration Date2026-01-10
Last Update Date2026-01-10
Business Address
MADISON GATES
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202-4703
Phone number: 205-940-1112
Mailing Address
MADISON GATES
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202-4703
Phone number: 205-940-1112