NPI 1780499095 · live from the CMS NPI Registry
Agewell Therapy Services, LLC
Speech-Language Pathologist, in Camas, WA. National Provider Identifier 1780499095, active.
NPI record
| NPI | 1780499095 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2429 Nw Larkspur Ct, Camas, WA 98607 |
| Practice phone | 615-945-7378 |
| Enumerated | February 12, 2025 |
| Last updated | February 12, 2025 |
| Authorized official | Regina Anderson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.