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NPI Code Detail

MEDICARE: ACHIEVEMENT THERAPY SERVICES LLC

MEDICARE: ACHIEVEMENT THERAPY SERVICES LLC
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1336401405
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACHIEVEMENT THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 3157 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3157 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number : 507-226-8844
Fax Number : 507-226-8846
Authorized Official
Title or Position : PRESIDENT/CHIEF MANAGER
Name : JENNIFER LEUTHOLD
Credential : M.S., CCC-SLP
Telephone Number : 507-226-8844
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/13/2012

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Directions to “ACHIEVEMENT THERAPY SERVICES LLC ” 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.

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