Provider Demographics
NPI:1407687700
Name:MEYERS, KRISTI KAY
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:KAY
Last Name:MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 LIMERICK DR
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:IA
Mailing Address - Zip Code:50648-1218
Mailing Address - Country:US
Mailing Address - Phone:319-230-9077
Mailing Address - Fax:
Practice Address - Street 1:334 LIMERICK DR
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:IA
Practice Address - Zip Code:50648-1218
Practice Address - Country:US
Practice Address - Phone:319-230-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist