MEDICARE: KATHLEEN ENGEBRETSON OTR

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	100087	MN

General Provider Information

NPI Number	:	1881359362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ENGEBRETSON OTR

Provider Business Mailing Address
First Line	:	3514 LYNDALE AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-2558
Country	:	US
Telephone Number	:	612-803-5038
Fax Number	:	763-559-7706

Provider Business Practice Location Address
First Line	:	3514 LYNDALE AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-2558
Country	:	US
Telephone Number	:	612-803-5038
Fax Number	:	763-559-7706

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

Provider Enumeration Date	:	11/01/2021
Last Update Date	:	11/01/2021

Similar Medicare Providers

1730435173 — MS. ANDREA J COLEMAN
Practice Location Address:

3516 LYNDALE AVE N
MINNEAPOLIS, MN
55412-2558

Practice Phone: 414-855-6439
Practice Fax:

1093062986 — ANTONIO CALDWELL M.ED., CCC-SLP
Practice Location Address:

3514 LYNDALE AVE N
MINNEAPOLIS, MN
55412-2558

Practice Phone: 612-803-5038
Practice Fax:

1396167987 — MIDWEST MOBILE FEES ASSESSMENTS
Practice Location Address:

3514 LYNDALE AVE N
MINNEAPOLIS, MN
55412-2558

Practice Phone: 612-803-5038
Practice Fax:

1558026062 — ROBERT JOSHUA ANDERSON CCC-SLP
Practice Location Address:

3514 LYNDALE AVE N
MINNEAPOLIS, MN
55412-2558

Practice Phone: 612-803-5038
Practice Fax: 763-559-7706

1801671953 — LA TESHA SHAREE BROWN MSN, BSN, RN
Practice Location Address:

3514 LYNDALE AVE N
MINNEAPOLIS, MN
55412-2558

Practice Phone: 612-803-5038
Practice Fax:

1801747498 — CLAIRE ASPEN SHERBURNE RN
Practice Location Address:

225 PORTLAND AVE
MINNEAPOLIS, MN
55401-2558

Practice Phone: 218-994-1442
Practice Fax:

Directions to “ KATHLEEN ENGEBRETSON OTR” 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.