Big Steps Speech Therapy, LLC

Organization Active NPI Speech-Language Pathologist · Pocatello, ID

NPI 1073204129 · NPPES record last updated Jul 18, 2024

Key facts

NPI
1073204129
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
BIG STEPS SPEECH THERAPY, LLC
Practice address
155 S 2ND Ave
Pocatello, ID 83201-6446
Phone
(208) 271-6389
Fax
(208) 646-4415
NPI assigned
May 18, 2023
Organization subpart
No

Authorized official

Name
Jessica E Shotwell, ST NPI 1326743196
Title
Owner
Phone
(208) 271-6389

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

155 S 2nd Ave
Pocatello, ID 83201
Phone (208) 271-6389

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

155 S 2ND Ave
Pocatello, ID 83201-6446

Mailing address

209 S 14TH Ave
Pocatello, ID 83201-4139
Phone (208) 271-6389

Other providers in Pocatello, ID

All providers in Pocatello, ID · Speech-Language Pathologist in Idaho

Sources for this page

Verify at the official NPI Registry.