Nile Guy Kaufman
Individual provider Active NPI Mental Health Occupational Therapist · Brook Park, MN
NPI 1245050343 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1245050343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Occupational Therapist 225XM0800X
- Practice address
- 27274 Monument Rd
Brook Park, MN 55007-2196 - Phone
- (320) 438-4001
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changing Gaits Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | Yes |
Addresses
Primary practice location
27274 Monument Rd
Brook Park, MN 55007-2196
Mailing address
PO Box 21
Brook Park, MN 55007-0021
Phone (320) 438-4001
Other providers in Brook Park, MN
- Brooke Lynn Borst
- Changing Gaits Inc.
- Country Chiropractic Center
- Country Home Comforts LLC
- Christine Hippen
- Tracie Kathryn Myers
- William Scott Piper III
- Lezlie M Puetz
- Taylor Renee Schoumaker
- Jason Eric Siems
All providers in Brook Park, MN · Mental Health 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 14, 2024. 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.