Organization Name: | THERAPY STATION |
NPI Number: | 1194121855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TABITHA JEAN REUTER (DIRECTOR) |
Mailing Address: | 1301 W 1st St Sioux City |
State: | IA US |
Postal Code: | 511033508 |
Phone Number: | 7122666865 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |