Healthcare Provider Details

I. General information

NPI: 1811095599
Provider Name (Legal Business Name): THERAPY FOR ME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7624 EXECUTIVE DR
EDEN PRAIRIE MN
55344-3677
US

IV. Provider business mailing address

19009 KINGSWOOD TER
MINNETONKA MN
55345-5027
US

V. Phone/Fax

Practice location:
  • Phone: 952-944-0240
  • Fax: 952-944-0241
Mailing address:
  • Phone: 952-474-0119
  • Fax: 952-474-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number102516
License Number StateMN

VIII. Authorized Official

Name: LUCY M. SEGESKY
Title or Position: PRESIDENT/OCCUPATIONAL THERAPIST
Credential: OTR/L, MED
Phone: 612-799-3771