MEDICARE: KIRSTEN RENAE BABB OTD

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	225X00000X	Occupational Therapist	103961	MN

General Provider Information

NPI Number	:	1538099817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN RENAE BABB OTD

Provider Business Mailing Address
First Line	:	1047 BRIDGE ST
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-2219
Country	:	US
Telephone Number	:	651-900-9469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1047 BRIDGE ST
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-2219
Country	:	US
Telephone Number	:	651-900-9469
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1316876261 — KARI SCHULDT
Practice Location Address:

4570 VICTORIA ST N
SHOREVIEW, MN
55126-5800

Practice Phone: 651-621-6000
Practice Fax:

1851220578 — TACY DONNELLY
Practice Location Address:

4570 VICTORIA ST N
SHOREVIEW, MN
55126-5800

Practice Phone: 651-621-6130
Practice Fax:

1063962256 — KRISTA OSTERTAG
Practice Location Address:

4570 VICTORIA ST N
SHOREVIEW, MN
55126-5800

Practice Phone: 651-621-6000
Practice Fax:

1699605519 — REBECCA LUCHT
Practice Location Address:

4570 VICTORIA ST N
SHOREVIEW, MN
55126-5800

Practice Phone: 651-621-6000
Practice Fax:

1912837774 — MINA SAMY BOULOS DDS
Practice Location Address:

470 HIGHWAY 96 W STE 200
SHOREVIEW, MN
55126-3214

Practice Phone: 651-366-6880
Practice Fax: 651-366-6880

1841128998 — JAMIE SMUDER PHARMD
Practice Location Address:

3650 VICTORIA ST N
SHOREVIEW, MN
55126-2906

Practice Phone: 651-982-7500
Practice Fax:

Directions to “ KIRSTEN RENAE BABB OTD” 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.