MEDICARE: RYTHER SPEECH AND LANGUAGE 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1821729195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYTHER SPEECH AND LANGUAGE SERVICES LLC

Provider Business Mailing Address
First Line	:	8928 36TH ST N
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-9420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8673 EAGLE POINT BLVD # 203
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-8661
Country	:	US
Telephone Number	:	763-200-6256
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST/OWNER
Name	:	KATIE ANNETTE RYTHER
Credential	:	MS CCC-SLP
Telephone Number	:	763-706-7601

Provider Enumeration Date	:	06/18/2022
Last Update Date	:	06/18/2022

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Directions to “RYTHER SPEECH AND LANGUAGE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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