MEDICARE: MS. AMY AHO

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	377617	MN

General Provider Information

NPI Number	:	1184571283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY AHO

Provider Business Mailing Address
First Line	:	804 OAK ST
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-3755
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 OAK ST
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-3755
Country	:	US
Telephone Number	:	218-454-6450
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ MS. AMY AHO ” Practice Location

Language	Start Address	Practice Location

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