MEDICARE: REBECCA ANN GRANER

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		MN

General Provider Information

NPI Number	:	1811834500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN GRANER

Provider Business Mailing Address
First Line	:	369 ELTON HILLS DR NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2439
Country	:	US
Telephone Number	:	507-328-4596
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 ELTON HILLS DR NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2439
Country	:	US
Telephone Number	:	507-328-4596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “ REBECCA ANN GRANER ” Practice Location

Language	Start Address	Practice Location

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