Rhonda L Shively
Feeding, Eating & Swallowing
725 Pole Line Rd W
Twin Falls
, Idaho 83301-5860
Rhonda L Shively
Feeding, Eating & Swallowing
725 Pole Line Rd W
Twin Falls
, Idaho 83301-5860
(208) 814-1600
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About
Features
Specialties
- Feeding, Eating & Swallowing
Languages spoken
- English
Location
First Address
- Rhonda L Shively
- 725 Pole Line Rd W
- Twin Falls, ID
- Zip : 83301-5860
- Phone : (208) 814-1600
Second Address
- Rhonda L Shively
- 725 Pole Line Rd W
- Twin Falls, ID
- Zip : 83301-5860
- Phone : (208) 814-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XF0002X | Feeding, Eating & Swallowing | OT-2462 | ID |
National Provider Identifier
| NPI | 1093386468 |
|---|---|
| Provider Name | Rhonda L Shively |
| First Address | Twin Falls, ID 83301-5860 |
| Second Address | Twin Falls, ID 83301-5860 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.