Primary Therapy Source LLC

Speech-Language Pathologist · Twin Falls, ID

Organization Active NPI

NPI number 1114170024

Practice location

254 River Vista Pl
Twin Falls, ID 83301-3006
Phone
(208) 734-7333
Fax
(208) 734-8350

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NPI record

NPI
1114170024
Entity type
Organization (Type 2)
Enumeration date
October 23, 2008
Last updated
October 23, 2008
Organization subpart
Yes
Parent organization
Primary Therapy Source LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Authorized official

Name
Jan Yingst, PT
Title
Owner
Phone
(208) 734-7333

About Primary Therapy Source LLC

Primary Therapy Source LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 254 River Vista Pl, Twin Falls, ID 83301-3006. The NPI number 1114170024 was assigned on October 23, 2008 and the record was last updated on October 23, 2008.

The authorized official for this organization is Jan Yingst, PT, Owner.

Frequently asked questions

What is the NPI number of Primary Therapy Source LLC?

The NPI number is 1114170024.

What is the phone number of Primary Therapy Source LLC?

The phone number listed for the practice location is (208) 734-7333.

Where is Primary Therapy Source LLC located?

254 River Vista Pl, Twin Falls, ID 83301-3006.

What is the taxonomy code for Primary Therapy Source LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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