Katie Kolbus

Individual provider Active NPI Speech-Language Pathologist · Lanse, MI

NPI 1114409372 · NPPES record last updated Sep 5, 2018

Key facts

NPI
1114409372
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
18341 US Highway 41
Lanse, MI 49946-8024
Phone
(906) 524-3445
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Up Rehab Services LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

18341 US Highway 41
Lanse, MI 49946-8024

Mailing address

841 W Washington St Ste 500
Marquette, MI 49855-4139

Other providers in Lanse, MI

All providers in Lanse, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.