Provider Demographics
NPI:1194603654
Name:NOZOMI SPEECH THERAPY LLC
Entity type:Organization
Organization Name:NOZOMI SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:RITZEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-259-6691
Mailing Address - Street 1:8526 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNA
Mailing Address - State:IL
Mailing Address - Zip Code:61074
Mailing Address - Country:US
Mailing Address - Phone:563-259-6691
Mailing Address - Fax:
Practice Address - Street 1:621 S 3RD ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732
Practice Address - Country:US
Practice Address - Phone:563-259-6691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty