| Makona Therapy Services, Llc | |
|
113 Main Street N, Kimberly, ID 83341 | |
| (208) 421-9659 | |
| (208) 268-3878 |
| Full Name | Makona Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 113 Main Street N, Kimberly, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013592575 | NPI | - | NPPES |
| IDTPID015531 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Caroline M Riley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386269983 PECOS PAC ID: 7416359351 Enrollment ID: I20210714003074 |
| Provider Name | Christine R Reeds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912169418 PECOS PAC ID: 8820471162 Enrollment ID: I20220818001854 |
| Provider Name | Sara R Prescott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538882592 PECOS PAC ID: 6608244199 Enrollment ID: I20221114002280 |
| Mailing Address | Practice Location Address |
|---|---|
| Makona Therapy Services, Llc 225 Main St N Unit 182, Kimberly, ID 83341-7008 Ph: (208) 421-9659 | Makona Therapy Services, Llc 113 Main Street N, Kimberly, ID 83341 Ph: (208) 421-9659 |
Mrs. Hollie Jo Hieb, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Dixon Trl, Kimberly, ID 83341 Phone: 208-749-0140 | |
Jeremy Daniel Chatterton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 E 3195 N, Kimberly, ID 83341 Phone: 208-751-5308 | |
Mrs. Susan Kathryn Rauma, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3378 N 3300 E, Kimberly, ID 83341 Phone: 760-900-9280 | |
Mrs. Caroline M Riley, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 113 Main Street, Kimberly, ID 83341 Phone: 208-421-9659 Fax: 208-268-3878 | |
Mrs. Sara Raeli Prescott, M.S., CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 113 Main St N, Unit 182, Kimberly, ID 83341 Phone: 208-904-3500 Fax: 208-268-3878 | |
Chattertown Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 E 3195 N, Kimberly, ID 83341 Phone: 208-751-5308 |