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Active NPI 1457936627 Individual Practitioner Female Practitioner

Kinsley Sara Hackman , SLP

Speech-Language Pathologist • Wabasha, MN

Professional Overview & Biography Verified Profile Summary

Kinsley Hackman, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wabasha, MN. Practice services are available at 1200 GRANT BLVD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Grant Blvd W

Wabasha, MN 559811042

Telephone 6515655558
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wabasha, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Wabasha, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 10586

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Camilla Kohutko , PT

Physical Therapist

NPI 1508010158

Physical Therapist

Dr. Ryan Reidt , DPT

Physical Therapist

NPI 1518339415

Doctor of Physical Therapy

Dr. Adrienne Tryan , DPT

Physical Therapist

NPI 1528630043

Doctor of Physical Therapy

Jeffrey Darling , PT

Physical Therapist

NPI 1598005290

Physical Therapist

Carol Groth

Occupational Therapy Assistant

NPI 1851819163
Jack Marley

Physical Therapist

NPI 1871444703

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2021

Registered at 1200 GRANT BLVD W, WABASHA, MN 559811042 (Tel: 6515655558)

📍
Updated Business Mailing Address March 10, 2021

Registered at 1200 GRANT BLVD W, WABASHA, MN 559811042 (Tel: 6515654531)

👤
Provider Name / Credentials Updated March 10, 2021

Recorded as KINSLEY HACKMAN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Speech-Language Pathologist (License #10586 in MN)

🟢
Initial NPI Registration & Enumeration March 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457936627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2021
Last Update: March 10, 2021
Sole Proprietor: No

Mailing Address

1200 Grant Blvd W

Wabasha, MN 559811042

Phone: 6515654531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.