Healthcare Provider Details

I. General information

NPI: 1679228696
Provider Name (Legal Business Name): KIND WORDS SLP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6270 GLEN OAKS DR
FORT CALHOUN NE
68023-5084
US

IV. Provider business mailing address

6270 GLEN OAKS DR
FORT CALHOUN NE
68023-5084
US

V. Phone/Fax

Practice location:
  • Phone: 319-775-1025
  • Fax:
Mailing address:
  • Phone: 319-775-1025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MINDY ANN OTTE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 319-775-1025