Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN DOUGLASS, PTA
Active Sole ProprietorSHAUN DOUGLASS, PTA is a Occupational Therapist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1265113450 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1265113450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2023 (3.0104213900984 yrs)
- Last Updated
- Feb 4, 2025
- License
-
A1923 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7767 ELM CREEK BLVD N STE 160MAPLE GROVE, MN, 553697078Browse MN providers · Browse ZIP 55369
- Phone
- 7632018191
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| JOY JOHANSEN | — | 1275992067 |
| JODY GROEBNER | PTA | 1578152468 |
| JAMIE HARMALA | PTA | 1356923775 |
| NICOLE DANIELLE PIERCE | PTA | 1326620550 |
| MEGAN ILEEN BREZINSKI | — | 1851973002 |
| JANET TREML | — | 1366024499 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.