Organization
IGNITE ORAL FUNCTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE ANDRUS M.S., CCC-SLP, CMT (OWNER)
(801) 899-9876
Entity
Organization
Contact information
Practice address
583 W CHAPPEL VALLEY LOOP, LEHI, UT 84043-3920
(801) 899-9876
Mailing address
583 W CHAPPEL VALLEY LOOP, LEHI, UT 84043-3920
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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