Individual
CRYSTAL FELUSHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3034 S CHARTWELL GDN, AMMON, ID 83406-4934
(912) 272-6281
Mailing address
3034 S CHARTWELL GDN, AMMON, ID 83406-4934
(912) 272-6281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5802
ID
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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