Provider Demographics
NPI:1417563784
Name:YASMIN RIOS-SCHULTZ THERAPY LLC
Entity Type:Organization
Organization Name:YASMIN RIOS-SCHULTZ THERAPY LLC
Other - Org Name:LAKE AUSTIN SPEECH THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS-SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:512-831-7801
Mailing Address - Street 1:9804 INCA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-1023
Mailing Address - Country:US
Mailing Address - Phone:219-545-2984
Mailing Address - Fax:
Practice Address - Street 1:9804 INCA LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-1023
Practice Address - Country:US
Practice Address - Phone:219-545-2984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech