IndividualActive
Kimberly Gustafson, OT
NPI 1154722346 · Hand Occupational Therapist · Edina, MN
Provider details
- NPI number
- 1154722346
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 104692 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4010 W 65th St
Edina, MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
Approximate (ZIP-level) locationGet directions
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Registry dates
- Enumerated
- 2014-09-08
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.