Healthcare Provider Details

I. General information

NPI: 1528182912
Provider Name (Legal Business Name): CIERRA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 FALLS AVE E SUITE 36
TWIN FALLS ID
83301
US

IV. Provider business mailing address

PO BOX 5544
TWIN FALLS ID
83303-5544
US

V. Phone/Fax

Practice location:
  • Phone: 208-734-6700
  • Fax: 208-734-6795
Mailing address:
  • Phone: 208-734-6700
  • Fax: 208-734-6795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERRI ANNE SUTER
Title or Position: CO OWNER
Credential: MS CCC SLP
Phone: 208-734-6700