Healthcare Provider Details

I. General information

NPI: 1386577948
Provider Name (Legal Business Name): MRS. JILL LOUISE ESSNER-DODDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3403 MAPLEWOOD DR
MINNEAPOLIS MN
55418-1760
US

IV. Provider business mailing address

3403 MAPLEWOOD DR
MINNEAPOLIS MN
55418-1760
US

V. Phone/Fax

Practice location:
  • Phone: 612-382-0917
  • Fax:
Mailing address:
  • Phone: 612-382-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: