Kathryn Isely

Individual provider Active NPI Speech-Language Pathologist · Sultan, WA

NPI 1134469786 · NPPES record last updated Feb 19, 2013

Key facts

NPI
1134469786
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
514 4TH St
Sultan, WA 98294-9474
Phone
(360) 793-9831
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

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
Sultan School District # 311 Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

514 4TH St
Sultan, WA 98294-9474

Mailing address

22631 105TH Ave W
Edmonds, WA 98020-5135

Other providers in Sultan, WA

All providers in Sultan, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.