# SAND CANYON THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134983794
- **Authorized official:** JENILEE K WOLTMAN CCC-SLP (SPEECH LANGUAGE PATHOLOGIST, OWNER)
- **Authorized official phone:** (308) 760-8431

## Contact information

- **Practice address:** 720 BOX BUTTE AVE, HEMINGFORD, NE 69348-9706
- **Practice address phone:** (308) 760-8431
- **Mailing address:** PO BOX 794, HEMINGFORD, NE 69348-0794
- **Mailing address phone:** (308) 760-8431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 07/08/2026