THE UNRULY TONGUE MYOFUNCTIONAL THERAPY LLC (NPI# 1528684370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528684370 |
| Entity Type | Organization |
| Organization Name | THE UNRULY TONGUE MYOFUNCTIONAL THERAPY LLC |
| Practice Address |
1125 Nw Bluegrass Cir Mountain Home ID 83647 |
| Practice Telephone | 2089910515 |
| Mailing Telephone | 2089910515 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | MRS. THRESSA K. FOGLEMAN (OWNER/MYOFUNTIONAL THERAPIST) |
| Authorized Official Telephone | 2089190515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1125 NW BLUEGRASS CIR |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| 1295728897 | Scott Alan Baldridge | Family Medicine | 365 Mckenna Dr, Mountain Home, ID 83647 | 2005-08-30 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073716569 | Bruce D. Robbins, M.d. | Specialist | 1422 Highway 62 W, Mountain Home, AR 72653-4617 | 2007-06-11 |
| 1831305556 | Perry L Wilbur Md Pa | Specialist | 505 Hospital Dr, Mountain Home, AR 72653-2912 | 2007-05-16 |
| 1134341381 | Bruce Wolf Physical Therapy, P.a. | Specialist | 607 Northtown, Mountain Home, AR 72653-3121 | 2007-05-03 |
| 1700918471 | Physical Therapy Connection, Inc. | Specialist | 1027 Highway 62 E, Mountain Home, AR 72653-3215 | 2007-03-09 |
| 1790855518 | Linda P Woodbury | Specialist | 1200 Highway 201 N, Mountain Home, AR 72653-2440 | 2006-11-09 |
| 1831203512 | Stacey M Johnson Md Pa | Specialist | # 17 Medical Plaza, Mountain Home, AR 72653 | 2006-08-18 |
| 1215961859 | R. Harber Wood | Specialist | James H. Quillen/vamc (johnson City), Corner of Veterans Way and Lamont, Mountain Home, TN 37684 | 2006-07-10 |
| 1962454355 | Richard R Reece | Specialist | Sidney & Lamont Streets, V. A. Medical Center, Mountain Home, TN 37684 | 2006-05-16 |
| 1285602292 | Bruce Donald Robbins | Specialist | 1422 Hwy 62 Sw, Mountain Home, AR 72653-4617 | 2006-03-08 |
| 1114993060 | Louis Woodrow Elkins Jr. | Specialist | 628 Hospital Dr Ste 3-e, Mountain Home, AR 72653-2937 | 2006-02-28 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
Please comment or provide details below to improve the information on THE UNRULY TONGUE MYOFUNCTIONAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.