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Search › Missouri › Speech-Language Pathologist

Ethan Kristek, M.S., CCC-SLP

NPI 1629420369 · on the registry since 2016 · sole proprietor

Practice

Address
1600 S Hickory St
Mount Vernon, MO 65712
Phone
(417) 466-7103
Organisation at this address
Sunlakes Physical Therapy
Missouri Veterans Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri