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

GRETTA BOLSTAD

Active

GRETTA BOLSTAD is a Behavior Technician healthcare provider located in SHAKOPEE, Minnesota. NPI 1982333118 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SHAKOPEE, MN

Registration Details

NPI Number
1982333118
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2022 (4.1504914224848 yrs)
Last Updated
Jun 20, 2022

Practice Information

Address
4201 DEAN LAKES BLVD
SHAKOPEE, MN, 553792829
Browse MN providers · Browse ZIP 55379
Phone
6124161301
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in SHAKOPEE, MN

Name Credential NPI
REBECCA ROTHWELL 1891328050
JACOB DINEEN 1316563935
JAMIE BRANDELL 1861019937
HARLEY JEAN BRAKE WALKER 1104430255
MARY KAY YOZAMP 1730787375
SHANA-KAY SHANTELL ROSE 1922608256
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.