IndividualActive
Tara Kiser
NPI 1477063964 · Speech-Language Pathologist · Rantoul, IL
Provider details
- NPI number
- 1477063964
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146009136 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
650 N Maplewood Dr
Rantoul, IL 61866-1714
Phone: (217) 892-2131
Approximate (ZIP-level) locationGet directions
Mailing address
1315 W Ridge Ln
Champaign, IL 61822-2207
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.