MEDICARE: KAYLA BOLAND

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
1	224Z00000X	Occupational Therapy Assistant	201795	MN

General Provider Information

NPI Number	:	1205219177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA BOLAND

Provider Business Mailing Address
First Line	:	1740 BLUEWATER LN
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55129-6236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7012 LAKE RD
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-2433
Country	:	US
Telephone Number	:	651-287-9529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	07/09/2015

Similar Medicare Providers

1609272160 — AEGIS THERAPIES
Practice Location Address:

7012 LAKE RD
WOODBURY, MN
55125-2433

Practice Phone: 651-287-6527
Practice Fax:

1417336710 — MS. MOLLY HAMILTON DPT
Practice Location Address:

7012 LAKE RD
WOODBURY, MN
55125-2433

Practice Phone: 651-287-6487
Practice Fax:

1962870832 — EMMA RICHIE
Practice Location Address:

7012 LAKE RD
WOODBURY, MN
55125-2433

Practice Phone: 651-287-6529
Practice Fax:

1043680671 — KATHERINE TURNER
Practice Location Address:

7012 LAKE RD
WOODBURY, MN
55125-2433

Practice Phone: 612-877-1736
Practice Fax:

1427183961 — SENIOR CARE WOODBURY, LLC
Practice Location Address:

7012 LAKE RD
SAINT PAUL, MN
55125-2433

Practice Phone: 651-735-6000
Practice Fax:

1487500732 — SOPHIA SAMPLE
Practice Location Address:

721 COMMERCE DR
WOODBURY, MN
55125-9118

Practice Phone: 651-424-4000
Practice Fax:

Directions to “ KAYLA BOLAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.