Provider Demographics
NPI:1316586696
Name:REXROTH, EMILY (BS SLPA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:REXROTH
Suffix:
Gender:F
Credentials:BS SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 SUNCAST LN STE 9
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9327
Mailing Address - Country:US
Mailing Address - Phone:530-728-0757
Mailing Address - Fax:
Practice Address - Street 1:1160 SUNCAST LN STE 9
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9327
Practice Address - Country:US
Practice Address - Phone:530-728-0757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36223235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist