Provider Demographics
NPI:1841730876
Name:GO THERAPY INC
Entity type:Organization
Organization Name:GO THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, CLINIC DIRECTOR, SLP
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KORTUEM FREIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:507-327-6060
Mailing Address - Street 1:830 SUNRISE DR STE B
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-1203
Mailing Address - Country:US
Mailing Address - Phone:507-934-3573
Mailing Address - Fax:507-934-4072
Practice Address - Street 1:830 SUNRISE DR STE B
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082
Practice Address - Country:US
Practice Address - Phone:507-934-3573
Practice Address - Fax:507-934-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104420225X00000X
MN9205235Z00000X
MN9386235Z00000X
MN8036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty