Organization
INMOTION IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON W LAYDEN CCC-SLP (PROVIDER/OWNER)
(509) 475-1642
Entity
Organization
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(855) 633-3627
(855) 329-6277
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1729
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-1729
IDAHO STATE PROFESSIONAL LICENSE
ID
Enumeration date
08/29/2013
Last updated
08/29/2013
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