Organization
KAHL THERAPY CORNER, LLC
Active
Other names
Kahl Therapy Corner
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN KAHL MA CCC-SLP (OWNER/SPEECH LANGAUGE PATHOLOGIST)
(712) 310-8395
Entity
Organization
Contact information
Practice address
1500 N 16TH ST, COUNCIL BLUFFS, IA 51501-0150
(712) 310-8395
(888) 975-0225
Mailing address
1415 W BROADWAY, COUNCIL BLUFFS, IA 51501-3922
(712) 308-8233
(888) 975-0225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124495692
—
IA
05
—
1124495692
—
NE
Enumeration date
08/27/2018
Last updated
11/22/2021
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