Wellformed AI

NPI 1528367299 · live from the CMS NPI Registry

Rebecca Leigh Boellstorff, M.S.

Speech-Language Pathologist, in Bel Aire, KS. National Provider Identifier 1528367299, active.

NPI record

NPI1528367299 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location4550 Westlake Ct, Bel Aire, KS 67220
Practice phone316-973-5321
EnumeratedMarch 21, 2011
Last updatedMarch 21, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X1440 (NE)
Speech-Language Pathologist, 235Z00000X2862 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.