Healthcare Provider Details

I. General information

NPI: 1932251279
Provider Name (Legal Business Name): MICHELLE KUHLMANN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 VETERANS DR BLDG 51
SAINT CLOUD MN
56303-2015
US

IV. Provider business mailing address

38763 MCCORMICK LAKE RD
SAUK CENTRE MN
56378-8319
US

V. Phone/Fax

Practice location:
  • Phone: 320-255-6323
  • Fax:
Mailing address:
  • Phone: 320-352-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number102565
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: