Healthcare Provider Details

I. General information

NPI: 1073458196
Provider Name (Legal Business Name): KATHLEEN FRANCES RAUSCH SPEECH/LANGUAGE PATH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17239 RIVER OAKS LN
FERGUS FALLS MN
56537-7508
US

IV. Provider business mailing address

17239 RIVER OAKS LN
FERGUS FALLS MN
56537-7508
US

V. Phone/Fax

Practice location:
  • Phone: 218-205-4350
  • Fax:
Mailing address:
  • Phone: 218-205-4350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8879
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: