Individual
KAYLA BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1601 W SOUTH ST, STOUGHTON, WI 53589-1967
(608) 877-5100
Mailing address
825 ARENDAL CT, STOUGHTON, WI 53589-4636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14024262
WI
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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