MEDICARE: RUSHMORE KIDS SPEECH THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1144758988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUSHMORE KIDS SPEECH THERAPY INC

Provider Business Mailing Address
First Line	:	13232 KLONDIKE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-7426
Country	:	US
Telephone Number	:	605-209-2246
Fax Number	:

Provider Business Practice Location Address
First Line	:	13232 KLONDIKE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-7426
Country	:	US
Telephone Number	:	605-209-2246
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LINDSY WATHEN JO WATHEN
Credential	:	MA, CCC-SLP
Telephone Number	:	605-209-2246

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1710045232 — MR. TIMOTHY EARL YOUNG D.C.
Practice Location Address:

6020 N ROBINSON AVE
OKLAHOMA CITY, OK
73118-7426

Practice Phone: 405-767-9750
Practice Fax: 405-767-9759

1790836260 — MRS. BEULAH M GRAY RN
Practice Location Address:

7426 MACZALI DR
MISSOURI CITY, TX
77489-3319

Practice Phone: 281-216-7375
Practice Fax: 281-437-8224

1669595831 — BETTYE JEAN MOULDEN
Practice Location Address:

1316 PARKWOODS CT
MIDWEST CITY, OK
73110-7426

Practice Phone: 405-737-2278
Practice Fax:

1225221443 — YOUNG CHIROPRACTIC PC
Practice Location Address:

6020 N ROBINSON AVE
OKLAHOMA CITY, OK
73118-7426

Practice Phone: 405-767-9750
Practice Fax:

1184878761 — AMERICAN CARE CONNECTION
Practice Location Address:

67430 VISTA CHINO
CATHEDRAL CITY, CA
92234-7426

Practice Phone: 760-368-7854
Practice Fax:

1043611668 — DR. CHRISTIAN WINDHAM D.C.
Practice Location Address:

6020 N ROBINSON AVE
OKLAHOMA CITY, OK
73118-7426

Practice Phone: 405-767-9750
Practice Fax: 405-767-9759

Directions to “RUSHMORE KIDS SPEECH THERAPY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.