Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrie Renee Rydstrom

Individual provider Speech-Language Pathologist · NPI 1750173886

Carrie Renee Rydstrom is a Qualified Speech Language Pathologist in Kemmerer, Wyoming. Qualified in 2019, 7 years ago. Practices as a sole proprietor.

Years since qualifying
7
In the registry since
2025

Practice location Address checks out

711 Onyx St
Kemmerer, WY 83101-3214
Phone: (307) 877-4496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1750173886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing addressPo Box 1179, Kemmerer, WY 83101-1179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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