Provider Demographics
NPI:1154643294
Name:RYTHER, KATIE A (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:A
Last Name:RYTHER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 16TH STREET CT N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5515
Mailing Address - Country:US
Mailing Address - Phone:763-200-6256
Mailing Address - Fax:
Practice Address - Street 1:7550 16TH STREET CT N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-5515
Practice Address - Country:US
Practice Address - Phone:763-200-6256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist