NPI 1760113021 · live from the CMS NPI Registry
Kristine Andrus, M.S., CF-SLP
Speech-Language Pathologist, in Eagle Mountain, UT. National Provider Identifier 1760113021, active.
NPI record
| NPI | 1760113021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 18406 W White Quest Dr, Eagle Mountain, UT 84013 |
| Practice phone | 801-335-4699 |
| Enumerated | June 17, 2022 |
| Last updated | June 17, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 12892636-4104 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.