Kami Rae Thalls
Individual provider Active NPI Speech-Language Pathologist · Avilla, IN
NPI 1124844527 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1124844527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 515 N Main St
Avilla, IN 46710-9601 - Phone
- (260) 897-2841
- NPI assigned
- Dec 2, 2024
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
515 N Main St
Avilla, IN 46710-9601
Mailing address
5437 Coventry LN Apt 304
Fort Wayne, IN 46804-7177
Phone (812) 350-5020
Other providers in Avilla, IN
- Hanna Schreiber
- Chantell Spohr
- Jonathan Stehlik
- Heather Suzanne Sutton
- Kourtney Marie Terry
- Gerald G. Warrener
All providers in Avilla, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. 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.