Individual
KATHI BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
451 E 400 N, WEST INSTRUCTION BLD, RM 120, PRICE, UT 84501
(435) 613-5012
Mailing address
2117 N DAKOTA AVE, AMES, IA 50014-9016
(435) 979-1868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
096031
IA
235Z00000X
Speech-Language Pathologist
4904
ID
235Z00000X
Speech-Language Pathologist
Primary
9828347-4102
UT
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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