| Michelle Kloke, | |
|
6625 Lyndale Ave S, Richfield, MN 55423-2373 | |
| (952) 285-2840 | |
| Not Available |
| Full Name | Michelle Kloke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6625 Lyndale Ave S, Richfield, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346071990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 104759 (Minnesota) | Primary |
| Provider Name | Family Speech & Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Kloke, 6625 Lyndale Ave S, Richfield, MN 55423-2373 Ph: () - | Michelle Kloke, 6625 Lyndale Ave S, Richfield, MN 55423-2373 Ph: (952) 285-2840 |
Mrs. Courtney Vander Wal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S, Richfield, MN 55423 Phone: 952-285-2840 | |
Claire Johnson, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-775-5190 | |
Gina Brady, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-798-8323 | |
Leah Tacheny, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7727 Portland Ave, Richfield, MN 55423 Phone: 612-861-1691 | |
Kristin Marie Ries, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 430, Richfield, MN 55423 Phone: 952-285-2840 | |
Laura Gerdts-saathoff, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 430, Richfield, MN 55423 Phone: 952-285-2840 | |
Mrs. Katherine Marie Eiden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 952-767-5918 |