Madison Gates

NPI #1063370054 in Chubbuck, Idaho

Provider Information

NPI Number
1063370054
Entity Type
Individual
Name
Madison Gates
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jan 10, 2026
Last Updated
Jan 10, 2026

Practice Location

Address
240 W BURNSIDE AVE STE D
State
Idaho
ZIP Code
83202-4703
Phone
(205) 940-1112

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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