Individual
MRS. ELISABETH AUDREY THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
PO BOX 342, SILVER LAKE, MN 55381-0342
(320) 864-2530
Mailing address
250 GAUGER ST NE, HUTCHINSON, MN 55350-1707
(320) 583-0424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
351721
MN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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