NPI 1609659481 · live from the CMS NPI Registry
Kathi Bodily, MS, CCC-SLP
Speech-Language Pathologist, in Price, UT. National Provider Identifier 1609659481, active.
NPI record
| NPI | 1609659481 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 451 E 400 N, West Instruction Bld, Rm 120, Price, UT 84501 |
| Practice phone | 435-613-5012 |
| Mailing address | 2117 N Dakota Ave, Ames, IA 50014 |
| Enumerated | August 16, 2023 |
| Last updated | August 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 096031 (IA) |
| Speech-Language Pathologist, | 235Z00000X | 4904 (ID) |
| Speech-Language Pathologist, primary | 235Z00000X | 9828347-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.