Organization
TANDY THERAPY LLC
Active
Other names
Tandy Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TANDY SPL-2712 (SPEECH LANGUAGE PATHOLOGIST)
(208) 981-1111
Entity
Organization
Contact information
Practice address
102 W 11TH AVE STE A, POST FALLS, ID 83854-9255
(208) 981-1111
(208) 908-0600
Mailing address
102 W 11TH AVE STE A, POST FALLS, ID 83854-9255
(208) 981-1111
(208) 908-0600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012288
—
ID
05
—
217484100
—
WA
Enumeration date
04/06/2017
Last updated
08/22/2021
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