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

Katrina H Bates, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063242964

Katrina H Bates, CCC-SLP is a Speech-Language Pathologist in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

859 S Yellowstone Hwy Ste 1702
Rexburg, ID 83440-5412
Phone: (208) 356-7643
Fax: (208) 356-7708
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-3839 (ID)

Record details

NPI number1063242964
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address4061 E 159 N, Rigby, ID 83442-3002

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