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NPI Code Detail

MEDICARE: MACKENSIE KAPPERS OTR/L

MEDICARE: MACKENSIE KAPPERS OTR/L
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 TherapistMN

General Provider Information

NPI Number : 1528996063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENSIE KAPPERS OTR/L
Provider Business Mailing Address
First Line : 9550 LYDIA LN
Second Line :
City : ELKO NEW MARKET
State : MN
Zip : 55020-4404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 W MAIN ST
Second Line :
City : BELLE PLAINE
State : MN
Zip : 56011-1221
Country : US
Telephone Number : 952-873-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ MACKENSIE KAPPERS OTR/L” Practice Location

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