Dylan Wake, M.S. CCC-SLP

NPI 1215401963 · on the registry since 2019

Practice

Address: 3100 Channing Way
Idaho Falls, ID 83404
Phone: (208) 529-7685
Organisation at this address: Kenneth E Krell Md Pa
Ihc Health Services Inc
Neonatal Associates, Pllc
Intermountain Anesthesia, Pa
Eastern Idaho Intensivist Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 206

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho