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MS. KELLY BERTENSHAW
NPI 1043563570
Speech-Language Pathologist in St Louis Park, MN

Active since October 22, 2012
4415 W 36 1/2 ST, ST LOUIS PARK, MN 55416(952) 927-9717 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelly Bertenshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY BERTENSHAW (NPI 1043563570) is an individual speech-language pathologist provider in St Louis Park, Minnesota, licensed in Minnesota (8926) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1043563570
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. KELLY BERTENSHAW
Location Address4415 W 36 1/2 STSt Louis Park, MN 55416-4854
Mailing Address7244 York Ave S, Apartment # 426Edina, MN 55435-4455 · (612) 242-1220
Phone(952) 927-9717
Sole ProprietorYes
Enumeration DateOctober 22, 2012
✔ NPI 1043563570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 8926
Definition
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.
4415 W 36 1/2 ST, St Louis Park, MN 55416
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE JOANN POWERS
Occupational Therapy Assistant
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
MRS. MALIA L KING PTA
Physical Therapy Assistant
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
ELIZABETH COYNE OTR/L
Occupational Therapist
4415 W 36 1/2 ST
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
DANA NIENABER
Physical Therapy Assistant
4415 W 36 1/2 ST
SAINT LOUIS PARK, MN 55416
Hennepin County (763) 258-3516
EXTENDICARE HOMES, INC.
Skilled Nursing Facility
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
ST. LOUIS PARK OPCO II, LLC
Skilled Nursing Facility
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
EMILY MILLER PTA
Physical Therapy Assistant
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717
ROCHELLE ANDERSON OTR/L
Occupational Therapist
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 927-9717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bertenshaw's NPI number?

The NPI number for Kelly Bertenshaw is 1043563570. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Kelly Bertenshaw located?

Kelly Bertenshaw practices at 4415 W 36 1/2 St, St Louis Park, MN 55416. The listed phone number is (952) 927-9717.

What is Kelly Bertenshaw's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Bertenshaw was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.