Healthcare Provider Details

I. General information

NPI: 1790617868
Provider Name (Legal Business Name): SIERRA KLIMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SATURN ST N STE A
COSMOS MN
56228-9757
US

IV. Provider business mailing address

714 MADSON AVE SW
HUTCHINSON MN
55350-2725
US

V. Phone/Fax

Practice location:
  • Phone: 507-339-4933
  • Fax:
Mailing address:
  • Phone: 320-296-3153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: