| Michelle Pettit, MA OTR/L | |
|
2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 | |
| (763) 233-7274 | |
| Not Available |
| Full Name | Michelle Pettit |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 10 Years |
| Location | 2829 Verndale Ave, Anoka, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760917710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 105290 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roots And Wings Therapeutic Services Llc | 4284027806 | 3 |
| Provider Name | Roots And Wings Therapeutic Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902564420 PECOS PAC ID: 4284027806 Enrollment ID: O20220203000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Pettit, MA OTR/L 2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 Ph: (763) 233-7274 | Michelle Pettit, MA OTR/L 2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 Ph: (763) 233-7274 |
Jami Eilers, MA, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 | |
Mara Lynn Carson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 | |
Tara Vosu, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 | |
Margret Kallstrom, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 Adams St., Anoka, MN 55303 Phone: 763-313-2775 | |
Amy Jo Wulf, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 | |
Amanda Armstrong, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 612-430-6229 | |
Tatiana Valenziano, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 N Ferry St, Anoka, MN 55303 Phone: 763-506-1000 |