Kathi Bodily, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Price, UT
NPI 1609659481 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1609659481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9828347-4102 (UT)
- Practice address
- 451 E 400 N
West Instruction BLD, RM 120
Price, UT 84501 - Phone
- (435) 613-5012
- NPI assigned
- Aug 16, 2023
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096031 | IA | MD | Speech-Language Pathologist |
| 4904 | ID | MD | Speech-Language Pathologist |
| 9828347-4102 | UT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 096031 | IA | |
| Speech-Language Pathologist | 235Z00000X | 4904 | ID | |
| Speech-Language Pathologist | 235Z00000X | 9828347-4102 | UT | Yes |
Addresses
Primary practice location
451 E 400 N
West Instruction BLD, RM 120
Price, UT 84501
Mailing address
2117 N Dakota Ave
Ames, IA 50014-9016
Phone (435) 979-1868
Other providers in Price, UT
- Brady Black
- Tamara Blackburn
- Regan Blanc
- Tiffany M Bloomer
- Jan Bodily
- Bookcliffs Pathology P.C.
- James Bowker
- David C Bradshaw
- Matthew Frank Brady
- Katie Ann Bray
All providers in Price, UT · Speech-Language Pathologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. 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.