The Unruly Tongue Myofunctional Therapy LLC
NPI #1528684370 in Mountain Home, Idaho
Provider Information
- NPI Number
- 1528684370
- Entity Type
- Organization
- Organization Name
- The Unruly Tongue Myofunctional Therapy LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 17, 2020
- Last Updated
- Jun 17, 2020
Practice Location
- Address
- 1125 NW BLUEGRASS CIR
- City
- Mountain Home
- State
- Idaho
- ZIP Code
- 83647
- Phone
- (208) 991-0515
Authorized Official
- Name
- MRS. THRESSA K. FOGLEMAN
- Title
- OWNER/MYOFUNTIONAL THERAPIST
- Phone
- (208) 919-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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