Michelle Marie Samuelson in Park Rapids - Occupational Therapist

Michelle Marie Samuelson - NPI 1043385834

Michelle Marie Samuelson is a Occupational Therapist in Park Rapids, Minnesota. Michelle Marie Samuelson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Michelle Marie Samuelson is 1043385834. The last update date is 2007-07-08.

Michelle Marie Samuelson's current location address is 200 Main Ave S, Park Rapids, Minnesota. You can contact this provider via phone number 2187320868 and fax number 2187328502. The mailing address for Michelle Marie Samuelson is 200 Main Ave S, Park Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Marie Samuelson
Address 200 Main Ave S, Park Rapids, Minnesota
Phone Number 2187320868
Fax Number 2187328502
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1043385834
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 Main Ave S
City Park Rapids
State Minnesota (MN)
Post Code 564701518
Phone Number 2187320868
Fax Number 2187328502

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 102954
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13K2TH MN BLUE CROSS IND ID #
64-04244 MN MEDICA ID #

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FAQs about Michelle Marie Samuelson

What is the unique provider identifier assigned to Michelle Marie Samuelson?

The Michelle Marie Samuelson has been issued the NPI (National Provider Identifier) 1043385834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Michelle Marie Samuelson is geographically located?

The Michelle Marie Samuelson is physically situated at the following location: 200 Main Ave S, Park Rapids, MN, 564701518.

What is the Michelle Marie Samuelson's specialty and taxonomy code?

The Michelle Marie Samuelson's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.

When did Michelle Marie Samuelson receive its 1043385834 assignment?

The Michelle Marie Samuelson was assigned its 1043385834 on 2006-11-21, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Michelle Marie Samuelson most recently updated or revised?

The information pertaining to Michelle Marie Samuelson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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