Organization
PLATFORM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTIN N WINKEL MA, CCC-SLP (OWNER/SLP)
(920) 234-5745
Entity
Organization
Contact information
Practice address
1704 N 12TH ST, SHEBOYGAN, WI 53081-2506
(920) 234-5745
Mailing address
1704 N 12TH ST, SHEBOYGAN, WI 53081-2506
(920) 234-5745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164802658
—
WI
Enumeration date
04/23/2022
Last updated
04/23/2022
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