Healthcare Provider Details

I. General information

NPI: 1336025691
Provider Name (Legal Business Name): TINY TONGUES THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 OFFICE PARK RD STE 103
WEST DES MOINES IA
50265-2505
US

IV. Provider business mailing address

939 OFFICE PARK RD STE 103
WEST DES MOINES IA
50265-2505
US

V. Phone/Fax

Practice location:
  • Phone: 515-321-3317
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MCKENNA NOVAK
Title or Position: OWNER
Credential: OTD, OTR/L
Phone: 515-321-3317