MEDICARE: WILLOW THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	235Z00000X	Speech-Language Pathologist
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1104637768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	233 S PLEASANT GROVE BLVD STE 201
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-2878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 S PLEASANT GROVE BLVD STE 201
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-2878
Country	:	US
Telephone Number	:	801-753-8193
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST/OWNER
Name	:	COURTNEY SCHNEIDER
Credential	:	MS SLP
Telephone Number	:	385-277-8685

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/14/2025

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Directions to “WILLOW THERAPY SERVICES, LLC ” Practice Location

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