Lyda Azelton
Individual provider Active NPI Occupational Therapist · Owatonna, MN
NPI 1154552610 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1154552610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 103739 (MN)
- Practice address
- 2250 NW 26TH St
Owatonna, MN 55060-5503 - Phone
- (612) 863-6029
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103739 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103739 | MN | Yes |
Addresses
Primary practice location
2250 NW 26TH St
Owatonna, MN 55060-5503
Mailing address
2250 NW 26TH St
Owatonna, MN 55060-5503
Other providers in Owatonna, MN
- Astrup Drug Inc
- Astrup Drug, Inc
- Rebecca Anne Aten
- Damien D Autio
- Avanta Therapy LLC
- Krista Lynn Bahnsen
- Kim Willis Baker
- Ian Bakewell
- Lee Joseph Bakewell
- Sarah Baldt
All providers in Owatonna, 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 Apr 2, 2020. 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.