Individual
KAREN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(208) 359-9570
(208) 359-9580
Mailing address
PO BOX 711, REXBURG, ID 83440-0711
(208) 359-9570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3630
ID
235Z00000X
Speech-Language Pathologist
SLP8915
AZ
Other
Enumeration date
08/27/2014
Last updated
07/05/2022
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