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NPI Code Detail

MEDICARE: MRS. BETH MARIE AUSMAN MS, OTRL

MEDICARE:  MRS. BETH MARIE AUSMAN  MS, OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist103218MN
2225XP0200XPediatric Occupational Therapist103218MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1082H6AUOTHERMNBLUE CROSS

General Provider Information

NPI Number : 1184791972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH MARIE AUSMAN MS, OTRL
Provider Business Mailing Address
First Line : 6123 W 140TH ST
Second Line :
City : SAVAGE
State : MN
Zip : 55378-1937
Country : US
Telephone Number : 952-226-5154
Fax Number : 612-728-5354
Provider Business Practice Location Address
First Line : 3333 UNIVERSITY AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3325
Country : US
Telephone Number : 612-728-5396
Fax Number : 612-728-5354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 09/11/2025

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Directions to “ MRS. BETH MARIE AUSMAN MS, OTRL” Practice Location

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