Makona Therapy Services, LLC
Speech-Language Pathologist, in Kimberly, ID. Organization (NPI-2).
NPI number1013592575
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1013592575
- Entity type
- Organization (NPI-2)
- Legal business name
- Makona Therapy Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2021
- Certification date
- Aug 28, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
113 Main Street NKimberly, ID 83341
Phone 208-421-9659 · Fax 208-904-3947
Mailing address
225 Main St N Unit 182Kimberly, ID 83341-7008
Phone 208-904-3500 · Fax 208-904-3947
Authorized official
Selina Puente
Office Manager
2089043500
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