CASEY RAGAN

IDAHO FALLS, ID
NPI1548637044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP - 2713)
Enumeration Date2015-09-01
Last Update Date2015-09-01
Business Address
-- CASEY RAGAN M.S., CF-SLP
2377 CORONADO ST
IDAHO FALLS, ID 83404-7440
Phone number: 208-535-1286
Mailing Address
-- CASEY RAGAN M.S., CF-SLP
160 SAINT CLAIR RD
IDAHO FALLS, ID 83401-4379
Phone number: 208-569-0853