MEDICARE: JILLENE ACHTERKIRCH MA, CCC-SLP

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	363581	MN

General Provider Information

NPI Number	:	1386588168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLENE ACHTERKIRCH MA, CCC-SLP

Provider Business Mailing Address
First Line	:	338 E MAIN ST
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-3037
Country	:	US
Telephone Number	:	507-444-8050
Fax Number	:

Provider Business Practice Location Address
First Line	:	338 E MAIN ST
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-3037
Country	:	US
Telephone Number	:	507-444-8065
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ JILLENE ACHTERKIRCH MA, CCC-SLP” Practice Location

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