Provider Demographics
NPI:1336529759
Name:VIERTHALER, KORTNEY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KORTNEY
Middle Name:
Last Name:VIERTHALER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 GRAND AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-5852
Mailing Address - Country:US
Mailing Address - Phone:406-259-3951
Mailing Address - Fax:406-259-3951
Practice Address - Street 1:710 GRAND AVE STE 15
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-5852
Practice Address - Country:US
Practice Address - Phone:406-259-3951
Practice Address - Fax:406-259-3951
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-LIC-6580235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist