| Live Well Speech Therapy Llc | |
|
1211 S 1530 W, Springville, UT 84663-5074 | |
| (562) 841-2877 | |
| Not Available |
| Full Name | Live Well Speech Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1211 S 1530 W, Springville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952080475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Jackie Lynn Larsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659050177 PECOS PAC ID: 0143674432 Enrollment ID: I20230920001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Speech Therapy Llc 1211 S 1530 W, Springville, UT 84663-5074 Ph: (562) 841-2877 | Live Well Speech Therapy Llc 1211 S 1530 W, Springville, UT 84663-5074 Ph: (562) 841-2877 |
Pamela Jamison, M.E/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1072 Wildflower Way, Springville, UT 84663 Phone: 385-314-0906 | |
Ashley Bishop, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1829 W 1000 S, Springville, UT 84663 Phone: 208-757-0561 | |
Laura Brynn Lewis, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 E 300 N, Springville, UT 84663 Phone: 801-661-5983 | |
Melissa Burke Delange, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1072 Wildflower Way, Springville, UT 84663 Phone: 395-314-0906 | |
Jackie Larsen, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1211 S 1530 W, Springville, UT 84663 Phone: 562-841-2877 |