Healthcare Provider Details

I. General information

NPI: 1437062601
Provider Name (Legal Business Name): KAITLYN MARIE JORE-RAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 ADAMS ST
MANKATO MN
56001-4895
US

IV. Provider business mailing address

1329 POHL RD APT 4
MANKATO MN
56001-6190
US

V. Phone/Fax

Practice location:
  • Phone: 507-565-0150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: