Organization
PLAY ADVENTURES PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA A MESSICK CCC-SLP ((SPEECH THERAPIST) OWNER/PARTER)
(208) 305-7076
Entity
Organization
Contact information
Practice address
807 PARK AVE, LEWISTON, ID 83501-4814
(208) 305-7076
Mailing address
807 PARK AVE, LEWISTON, ID 83501-4814
(208) 305-7076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/19/2025
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