KRISTA BUZZELL RUDD

CHUBBUCK, ID
NPI1730489436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1486)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
Mrs. KRISTA BUZZELL RUDD CCC-SLP
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-237-9833
Mailing Address
Mrs. KRISTA BUZZELL RUDD CCC-SLP
2400 E TERRY ST APT A
POCATELLO, ID 83201-2767
Phone number: 208-234-1274