Most Relevant Information
Provider Data
| NPI Number: | 1003686288 |
| Provider Name: | MADELINE FEENSTRA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
8052 W MAIN ST
RATHDRUM
ID
838584916
Practice Location Phone/Fax
| Phone: | 2085036173 |
| Fax: | 2087126808 |
Provider Mailing Location
PO BOX 793
RATHDRUM
ID
838580793
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |