| Nicole Tetrault, OTR | |
|
490 Highway 96 W Ste 300, Shoreview, MN 55126-1961 | |
| (651) 451-3016 | |
| Not Available |
| Full Name | Nicole Tetrault |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 490 Highway 96 W Ste 300, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568873644 | NPI | - | NPPES |
| 200603998 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 104647 (Minnesota) | Primary |
| Provider Name | Kids Abilities, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154455616 PECOS PAC ID: 2264749993 Enrollment ID: O20220711000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Tetrault, OTR 490 Highway 96 W Ste 300, Shoreview, MN 55126-1961 Ph: (651) 451-3016 | Nicole Tetrault, OTR 490 Highway 96 W Ste 300, Shoreview, MN 55126-1961 Ph: (651) 451-3016 |
Rebecca Lea Pilet, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5891 Rice Creek Pkwy Unit 132, Shoreview, MN 55126 Phone: 651-366-9314 | |
Rebecca Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Shoreview, MN 55126 Phone: 651-415-5490 | |
Kristeen Laura Groth, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1768 Oakwood Dr, Suite 120, Shoreview, MN 55126 Phone: 612-730-8272 Fax: 866-409-6687 | |
Olivia Zoner, OT, D Occupational Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Natalie Rene Wilmes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W Ste 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Molly Hunter, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126 Phone: 612-888-4757 | |
Kristin M Horky, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 |