Healthcare Provider Details

I. General information

NPI: 1922922939
Provider Name (Legal Business Name): PRESTON BAILEY TRIEMERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 14TH AVE E
SARTELL MN
56377-4500
US

IV. Provider business mailing address

938 38TH AVE N
SAINT CLOUD MN
56303-2155
US

V. Phone/Fax

Practice location:
  • Phone: 320-774-3436
  • Fax: 320-774-3440
Mailing address:
  • Phone: 320-428-6681
  • 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: