SearchIdaho235Z00000X

Jenna Messick, MS., CCC-SLP

NPI 1679293674 · on the registry since 2022 · sole proprietor

Practice

Address
807 Park Ave
Lewiston, ID 83501
Phone
(208) 305-7076
Organisation at this address
Play Adventures Pediatric Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-19

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