NPI 1063242964

Katrina H Bates, CCCSLP

Practitioner Speech-Language Pathologist Rexburg, ID

Practice location

Address: 859 S Yellowstone Hwy STE 1702, Rexburg, ID 83440-5412
Phone: (208) 356-7643
Fax: (208) 356-7708
Mailing address: 4061 E 159 N, Rigby, ID 83442-3002

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-3839 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1063242964
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2024
Record last updated: 5 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.