Kristin Amie Bruley, M.O.T.R./L
Individual provider Active NPI Occupational Therapist · Crookston, MN
NPI 1780930917 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1780930917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 103085 (MN)
- Practice address
- 323 S Minnesota St
Crookston, MN 56716-1601 - Phone
- (218) 281-9463
- Fax
- (218) 281-9336
- NPI assigned
- Jul 25, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103085 | MN | Yes |
| Occupational Therapist | 225X00000X | 994 | ND |
Addresses
Primary practice location
323 S Minnesota St
Crookston, MN 56716-1601
Mailing address
323 S Minnesota St
Crookston, MN 56716-1601
Other providers in Crookston, MN
- Samantha Brentrup
- Marilyn K Briggs
- Paula Leme Brito
- James Dean Brosseau
- Sheila Marie Brownlee
- Lorelle Rose Brun
- Janet Ann Burger
- Danell Sue Burgess
- Beth Hariette Burnette
- Oliver Buseth
All providers in Crookston, 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 25, 2012. 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.