| Brian Kothbauer, | |
|
814 Jackson St, Stoughton, WI 53589-1520 | |
| (608) 873-6448 | |
| Not Available |
| Full Name | Brian Kothbauer |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 814 Jackson St, Stoughton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982813762 | NPI | - | NPPES |
| 42585200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2799-154 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Kothbauer, 323 Bergamont Blvd, Oregon, WI 53575-3849 Ph: () - | Brian Kothbauer, 814 Jackson St, Stoughton, WI 53589-1520 Ph: (608) 873-6448 |
Madelyn Rae Kooima, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1408 Felland St, Stoughton, WI 53589 Phone: 608-354-3646 | |
Ms. Kristen Powell Lee, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 644 County Rd N, Stoughton, WI 53589 Phone: 608-877-1438 | |
Ms. Lynn Rulien Mckenzie, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 Jackson Street, Stoughton, WI 53589 Phone: 608-873-6448 | |
Ms. Cathy J (wilson) Pettibone, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 N Morris St, Stoughton, WI 53589 Phone: 608-873-5651 | |
Jane Grinyer Dean, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 Apollo Cir, Stoughton, WI 53589 Phone: 608-873-5240 |