Provider Demographics
NPI:1598339715
Name:HEPLER, MADISON
Entity Type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:
Last Name:HEPLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:STOLWORTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3366 SPARROW HAWK DR
Mailing Address - Street 2:
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83401-4984
Mailing Address - Country:US
Mailing Address - Phone:208-390-6853
Mailing Address - Fax:
Practice Address - Street 1:1460 ELK CREEK DR
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-8237
Practice Address - Country:US
Practice Address - Phone:208-535-1286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist