Basic Information
| Provider Information | |||||||||
| NPI: | 1003433913 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REHME | ||||||||
| FirstName: | KASEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4124 HYER ST UNIT 7 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752051340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2818258978 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7777 FOREST LN | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725667000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2020 | ||||||||
| LastUpdateDate: | 06/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 103600 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.