Glacier Therapies Online

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GLACIER THERAPIES ONLINE

Practice address

17920 NE 198TH CT
Brush Prairie, WA 98606-8806

Phone

(801) 851-0543

NPI assigned

Aug 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendra Holloway, MS, CCC-SLPNPI 1275936551

Title

Owner, Therapist

Phone

(360) 340-9270

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kendra Holloway, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Vancouver, WA
  • NPI 1275936551
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1124542907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 NE FOURTH PLAIN BLVD STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825141",
            "telephone_number": "503-567-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17920 NE 198TH CT",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986068806",
            "telephone_number": "801-851-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER THERAPIES ONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "360-340-9270",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lynne Furgerson, OT/L
• Caitlin Patricia Gallup, MA, CCC-SLP
• Regina Gamage, M.S. LMHC
• Christopher Garrett, DOT
• Rachel Gathright, DOULA
• Rachel Goddard
• Elise Gold
• Lesley Gunson
• Margaret Hall, M.S.
• Sally Ann Hart, SUDPT

• Speech-Language Pathologist in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.