Todd Blowers
Individual provider Active NPI Speech-Language Pathologist · Baxter, MN
NPI 1003000340 · NPPES record last updated Aug 29, 2007
Key facts
- NPI
- 1003000340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- ASHA01114077 (MI)
- Practice address
- 13795 Kenwood Dr
Baxter, MN 56425-8504 - Phone
- (435) 313-0686
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASHA01114077 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | ASHA01114077 | MI | Yes |
Addresses
Primary practice location
13795 Kenwood Dr
Baxter, MN 56425-8504
Mailing address
13795 Kenwood Dr
Baxter, MN 56425-8504
Phone (435) 313-0686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01114077 | Other | MI | ASHA # |
Other providers in Baxter, MN
- Miranda Blair
- Lacy J Blankley
- Wesley Blomberg
- Kristy Lynn Blomlie
- John Allen Blood Jr.
- Allison Boe
- Kari Lynn Boeder
- Blair Boileau
- Alexis Ann Bonney
- Kaila Marie Borchardt
All providers in Baxter, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.