IndividualActive
Kelly Holden
NPI 1144973397 · Gerontology Occupational Therapist · Plymouth, MN
Provider details
- NPI number
- 1144973397
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18159 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10713 32nd Ave N
Plymouth, MN 55441-3001
Phone: (612) 709-3102
Approximate (ZIP-level) locationGet directions
Mailing address
10713 32nd Ave N
Plymouth, MN 55441-3001
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.