| Owl Therapy Services Llc | |
|
61278 260th Ave, Mantorville, MN 55955-6010 | |
| (218) 750-7653 | |
| Not Available |
| Full Name | Owl Therapy Services Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 61278 260th Ave, Mantorville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811451701 | NPI | - | NPPES |
| Provider Name | Kathryn Marie Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396887493 PECOS PAC ID: 5294095972 Enrollment ID: I20180130000086 |
| Provider Name | Lauren Lyn Glessing |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366748865 PECOS PAC ID: 6901147867 Enrollment ID: I20190403001538 |
| Provider Name | Emily Breunig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497313167 PECOS PAC ID: 2264760909 Enrollment ID: I20190820001514 |
| Provider Name | Sydney Moon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073277711 PECOS PAC ID: 9739522459 Enrollment ID: I20240209002522 |
| Provider Name | Jeffrey James Glessing |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619118346 PECOS PAC ID: 3678918299 Enrollment ID: I20240305001419 |
| Provider Name | Autum L Erickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619684289 PECOS PAC ID: 3274979802 Enrollment ID: I20240306001010 |
| Provider Name | Zachary Daniel Gascho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962185058 PECOS PAC ID: 9830535319 Enrollment ID: I20240306003237 |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Therapy Services Llc 61278 260th Ave, Mantorville, MN 55955-6010 Ph: () - | Owl Therapy Services Llc 61278 260th Ave, Mantorville, MN 55955-6010 Ph: (218) 750-7653 |