Kelsey Peterson
Individual provider Active NPI Speech-Language Pathologist · Deer River, MN
NPI 1487583472 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1487583472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 476547 (MN)
- Practice address
- 29800 County Road 116
Deer River, MN 56636-4403 - Phone
- (218) 256-2383
- NPI assigned
- May 15, 2026
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 476547 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 476547 | MN | Yes |
Addresses
Primary practice location
29800 County Road 116
Deer River, MN 56636-4403
Mailing address
29800 County Road 116
Deer River, MN 56636-4403
Phone (218) 256-2383
Other providers in Deer River, MN
- Casey Morris
- Sadie Lynn Norstrem
- Thomas E Osborne
- Robert Ott
- Beate Gertrud Pelto
- Steven M Pitschka
- Jessie Lynn Redding
- Desiree Anne Rohling
- Tessa Marie Sackett
- Karissa Marie Schultz
All providers in Deer River, 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 May 15, 2026. 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.