Provider Demographics
NPI:1851945919
Name:WASECA INTEGRATED THERAPY HUB, LLC
Entity Type:Organization
Organization Name:WASECA INTEGRATED THERAPY HUB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLUETER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:612-986-2908
Mailing Address - Street 1:117 STATE ST N
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2928
Mailing Address - Country:US
Mailing Address - Phone:507-237-6336
Mailing Address - Fax:
Practice Address - Street 1:117 STATE ST N
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2928
Practice Address - Country:US
Practice Address - Phone:507-237-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty