Provider Demographics
NPI:1972193225
Name:HUSK, KATIE MARIE (SLP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:MARIE
Last Name:HUSK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:IA
Mailing Address - Zip Code:50061-8501
Mailing Address - Country:US
Mailing Address - Phone:515-493-9347
Mailing Address - Fax:
Practice Address - Street 1:1501 42ND ST STE 470
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1090
Practice Address - Country:US
Practice Address - Phone:515-402-4000
Practice Address - Fax:515-402-4008
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist