Kimberly Wallis-Rucklos, MACCCSLP
Kimberly Wallis-Rucklos, MACCCSLP is a Speech-Language Pathologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
6855 W Fairview Ave Ste 120Boise, ID 83704-8502
Phone: (208) 323-8888
Fax: (208) 323-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SLP-1374 (ID) |
|---|
Record details
| NPI number | 1548446420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCCSLP |
| Sole proprietor | No |
| NPI enumerated | January 10, 2008 |
| Last updated in NPPES | January 10, 2008 |
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