Kelli Johnson, MOTR/L
Individual provider Active NPI Occupational Therapist · North Mankato, MN
NPI 1013429307 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1013429307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 105404 (MN)
- Practice address
- 1575 Hoover Dr
North Mankato, MN 56003-2667 - Phone
- (507) 387-2037
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105404 | MN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105404 | MN | Yes |
Addresses
Primary practice location
1575 Hoover Dr
North Mankato, MN 56003-2667
Mailing address
16 Snowbird CT
North Mankato, MN 56003-1637
Phone (507) 317-1814
Other providers in North Mankato, MN
- Bridget Ireland-Ek
- Adella Jacobs
- Melanie Ann Jacobson
- Katelyn Mae Jensen
- Anna Johnson
- Madison Jean Johnson
- Megan Raeann Johnson
- Stephanie Elizabet Jordan
- Jowhar Transportation Services
- Elissa Marget Karels
All providers in North Mankato, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.