Organization
SAND CANYON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENILEE K WOLTMAN CCC-SLP (SPEECH LANGUAGE PATHOLOGIST, OWNER)
(308) 760-8431
Entity
Organization
Contact information
Practice address
720 BOX BUTTE AVE, HEMINGFORD, NE 69348-9706
(308) 760-8431
Mailing address
PO BOX 794, HEMINGFORD, NE 69348-0794
(308) 760-8431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
03/04/2024
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