| Michaela Krumholz, | |
|
3801 Hart Blvd, Columbia Heights, MN 55421-4106 | |
| (763) 210-6697 | |
| Not Available |
| Full Name | Michaela Krumholz |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3801 Hart Blvd, Columbia Heights, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639719776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 106118 (Minnesota) | Primary |
| Provider Name | Odom Sports Medicine Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Krumholz, 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: () - | Michaela Krumholz, 3801 Hart Blvd, Columbia Heights, MN 55421-4106 Ph: (763) 210-6697 |
Cole Burns, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Hart Blvd, Columbia Heights, MN 55421 Phone: 763-210-6697 | |
Trygve Lundgren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Hart Blvd, Columbia Heights, MN 55421 Phone: 763-210-6697 | |
Joelle Alstad, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Tyler St Ne, Columbia Heights, MN 55421 Phone: 651-238-8745 |