Madeline Feenstra
Individual provider Active NPI Speech-Language Pathologist · Rathdrum, ID
NPI 1003686288 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1003686288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 8052 W Main St
Rathdrum, ID 83858-4916 - Phone
- (208) 503-6173
- Fax
- (208) 712-6808
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa Pediatric Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
8052 W Main St
Rathdrum, ID 83858
Phone (208) 503-6173
14375 N Rockwood Ct
Rathdrum, ID 83858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
8052 W Main St
Rathdrum, ID 83858-4916
Mailing address
PO Box 793
Rathdrum, ID 83858-0793
Other names
- Miss Madeline Poortinga
Other providers in Rathdrum, ID
- Doc'S Pharmacy2 LLC
- Karin Sue Duncan
- Gabrielle Durbin
- Sonja Enger
- Theresa Erbe-Neuberger
- Krysta Maria Freed
- Freedom Northwest Transport Services LLC
- Fulfilling Hope Human Services LLC
- Angela Gallatin
- Chris J Garrett
All providers in Rathdrum, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.