Organization
BIG STEPS SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA E SHOTWELL ST (OWNER)
(208) 271-6389
Entity
Organization
Contact information
Practice address
155 S 2ND AVE, POCATELLO, ID 83201-6446
(208) 271-6389
(208) 646-4415
Mailing address
209 S 14TH AVE, POCATELLO, ID 83201-4139
(208) 271-6389
(208) 646-4415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
07/18/2024
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