| Stacie Haug, OT | |
| 
					3700 Cedar Lake Ave, Minneapolis, MN 55416-4240  | |
| (612) 925-7247 | |
| Not Available | 
| Full Name | Stacie Haug | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 3700 Cedar Lake Ave, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336355171 | NPI | - | NPPES | 
| 102821 | Other | MN | OT LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 102821 (Minnesota) | Primary | 
| Provider Name | Aegis Group Practice Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacie Haug, OT 3700 Cedar Lake Ave, Minneapolis, MN 55416-4240 Ph: () -  | Stacie Haug, OT 3700 Cedar Lake Ave, Minneapolis, MN 55416-4240 Ph: (612) 925-7247  | 
Taylor Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000  | |
Rachel Esther Hollister, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Suite R102, Minneapolis, MN 55454 Phone: 612-273-9400  | |
Ms. Theressa Agnes Burns, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Drive, Minneapolis, MN 55417 Phone: 612-467-3338 Fax: 612-725-2084  | |
Sandra J Stevenson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4447 Fax: 612-863-4263  | |
Ellissa A Kurk, PT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2512 S 7th St, Minneapolis, MN 55454 Phone: 612-273-7100  | |
Heather Christine Hunstad, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1910 5th St Ne, Minneapolis, MN 55418 Phone: 651-341-4055  | |
Danielle Lauren Prince, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-8383  |