IndividualActive
Theresa Larson, M.S.,CCC-SLP
NPI 1174764419 · Speech-Language Pathologist · Tarkio, MO
Provider details
- NPI number
- 1174764419
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S.,CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 2009006116 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Cedar St
Tarkio, MO 64491-1174
Phone: (660) 736-4116
Street-level locationGet directions
Mailing address
19539 215th Street
Rock Port, MO 64482
Registry dates
- Enumerated
- 2009-03-17
- Last updated
- 2009-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.