Provider Demographics
NPI:1598264707
Name:HEMSATH, ALEXIS T
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:T
Last Name:HEMSATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6246 ENCLAVE LN
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1780
Mailing Address - Country:US
Mailing Address - Phone:515-480-1070
Mailing Address - Fax:
Practice Address - Street 1:1650 SE HOLIDAY CREST CIR
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8661
Practice Address - Country:US
Practice Address - Phone:515-412-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist