Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Shaw

Individual provider Speech-Language Pathologist · NPI 1023401825

Kelli Shaw is a Speech-Language Pathologist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

3115 N Sycamore Dr
Boise, ID 83703-4129
Phone: (208) 401-6401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence TSLP-2657 (ID)

Record details

NPI number1023401825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2015
Last updated in NPPESMarch 18, 2015
Mailing address613 N Hillview Dr, Boise, ID 83712-8120

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