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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE TETRAULT, OTR

Active Sole Proprietor

NICOLE TETRAULT, OTR is a Occupational Therapist healthcare provider located in SHOREVIEW, Minnesota. NPI 1568873644 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SHOREVIEW, MN

Registration Details

NPI Number
1568873644
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2014 (12.218210739186 yrs)
Last Updated
Nov 29, 2022
License
104647 (MN)
Sole Proprietor
Yes

Practice Information

Address
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN, 551261961
Browse MN providers · Browse ZIP 55126
Phone
6514513016
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in SHOREVIEW, MN

Name Credential NPI
KRISTEEN LAURA GROTH OTR 1265545776
MICHELE MARIE SEIFERT OT 1548386808
KRISTIN M HORKY O.T. 1508095779
JENNIFER J REMAKEL OTR/L 1740523802
NATALIE RENE WILMES OTR/L 1396158697
REBECCA MOOS 1073011185
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.