Stacy Nicole Koelln in St Louis Park - Occupational Therapist
Stacy Nicole Koelln - NPI 1700057080
Stacy Nicole Koelln is a Occupational Therapist in St Louis Park, Minnesota. Stacy Nicole Koelln practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Stacy Nicole Koelln is 1700057080. The last update date is 2011-03-17.
Stacy Nicole Koelln's current location address is 4415 W 36 1/2 St, St Louis Park, Minnesota. You can contact this provider via phone number 9529279717. The mailing address for Stacy Nicole Koelln is 4415 W 36 1/2 St, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Nicole Koelln |
|---|---|
| Address | 4415 W 36 1/2 St, St Louis Park, Minnesota |
| Phone Number | 9529279717 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1700057080 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 4415 W 36 1/2 St |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554164854 |
| Phone Number | 9529279717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Stacy Nicole Koelln?
The Stacy Nicole Koelln has been issued the NPI (National Provider Identifier) 1700057080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stacy Nicole Koelln's physical address?
The Stacy Nicole Koelln is physically located at 4415 W 36 1/2 St, in the city of St Louis Park, MN, with the postal code 554164854.
What is the area of specialization for Stacy Nicole Koelln, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Nicole Koelln is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
When was the Stacy Nicole Koelln's 1700057080 issued?
The Stacy Nicole Koelln's 1700057080 was issued on 2008-03-14.
As of what date were the Stacy Nicole Koelln's details last updated?
The information pertaining to the Stacy Nicole Koelln, including its address, specialty, and other details, was most recently updated on 2011-03-17.