Individual
REBECCA LYNN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00854
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463381806
—
MO
Enumeration date
11/15/2011
Last updated
08/22/2022
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