Organization
ADVANCED THERAPY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE OWSLEY RUFFING MS CCC SLP (OWNER/OPERATOR)
(208) 587-8255
Entity
Organization
Contact information
Practice address
245 N 3RD E, BOX 603, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-5734
Mailing address
245 N 3RD E, BOX 603, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-5734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1211
ID
Other
Enumeration date
04/16/2008
Last updated
07/10/2008
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