| NPI | 1891828752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE KIENLEN-TRUJILLO Owner Speech Language Pathologist 307-332-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |