Healthcare Provider Details

I. General information

NPI: 1154246171
Provider Name (Legal Business Name): WHISTLING PINES SPEECH AND LANGUAGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 S WOODRUFF AVE STE D3
IDAHO FALLS ID
83401-6472
US

IV. Provider business mailing address

2071 DAKOTA LN
AMMON ID
83406-5068
US

V. Phone/Fax

Practice location:
  • Phone: 701-340-0356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KELSI LUND
Title or Position: OWNER
Credential:
Phone: 701-340-0356