Kailey Jo Van Eps, OT
Individual provider Active NPI Occupational Therapist · Appleton, MN
NPI 1619540887 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1619540887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 106604 (MN)
- Practice address
- 30 S Behl St
Appleton, MN 56208-1616 - Phone
- (320) 289-8503
- Fax
- (320) 289-1797
- NPI assigned
- Jul 23, 2021
- 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 |
|---|---|---|---|
| 106604 | MN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106604 | MN | Yes |
Addresses
Primary practice location
30 S Behl St
Appleton, MN 56208-1616
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other providers in Appleton, MN
All providers in Appleton, 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 Jul 23, 2021. 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.