| Fundamental Kids Therapy Llc | |
|
5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 | |
| (612) 888-4757 | |
| (612) 808-0005 |
| Full Name | Fundamental Kids Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 5985 Rice Creek Pkwy Ste 205, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922443522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 8614 (Minnesota) | Primary |
| Provider Name | Julie M Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689946006 PECOS PAC ID: 2264713288 Enrollment ID: I20170106001074 |
| Provider Name | Allison Ann Trefethen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841804804 PECOS PAC ID: 2062831449 Enrollment ID: I20201005001205 |
| Provider Name | Molly Hunter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497449862 PECOS PAC ID: 9739537507 Enrollment ID: I20231205001076 |
| Provider Name | Toni Henning |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891489258 PECOS PAC ID: 8224486006 Enrollment ID: I20231205001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamental Kids Therapy Llc 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 | Fundamental Kids Therapy Llc 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 |
Kids Abilities, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Michele Marie Mcguire, M.S., CCC - SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Jennifer Ruth Elton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 439 Carol Ln, Shoreview, MN 55126 Phone: 612-308-6132 Fax: 651-414-9339 | |
Jeanne L Gunvalson, M.S., CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3490 Lexington Ave N, Suite 305, Shoreview, MN 55126 Phone: 651-639-0942 Fax: 651-639-1718 | |
Ms. Danielle S Leddy, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Abby Husfeldt, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126 Phone: 612-888-4757 | |
Ms. Kathryn Jean O'dea, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 925 Arbogast St, Shoreview, MN 55126 Phone: 651-483-1775 |