Individual
KELLIE RISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
8401 XERXES AVE S, BLOOMINGTON, MN 55431-1631
(952) 806-8937
Mailing address
8401 XERXES AVE S, BLOOMINGTON, MN 55431-1631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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