Audrey Denboer, OTR
Individual provider Active NPI Speech-Language Pathologist · Remsen, IA
NPI 1104028034 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104028034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 01647 (IA)
- Practice address
- 423 Roosevelt Ave
Remsen, IA 51050-1074 - Phone
- (615) 896-6400
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01647 | IA | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01647 | IA | Yes |
Addresses
Primary practice location
423 Roosevelt Ave
Remsen, IA 51050-1074
Mailing address
101 4TH Ave SE
Sioux Center, IA 51250-2205
Phone (712) 722-0974
Other providers in Remsen, IA
- Al of Bavarian Meadows, Inc.
- City of Remsen-Remsen Ambulance
- Cornerstone Senior Communities of Remsen
- Floyd Valley Hospital
- Joiner and Zwart Dental Partnership
- Mid-Sioux Opportunity, Inc.
- Mid-Sioux Opportunity, Inc.
- Mid-Sioux Opportunity, Inc.
All providers in Remsen, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.