MR. KASEY EHREN MIKLIK OTR/L NPI 1487005872

NPI Information

NPI: 1487005872
Provider Name: MR. KASEY EHREN MIKLIK, OTR/L
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2660 LAKE SHORE AVE
LITTLE CANADA, MN
ZIP 55117
Phone: (612) 978-8393
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MR. Kasey Ehren Miklik, OTR/L is a specialist in Little Canada, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Kasey Ehren Miklik, OTR/L NPI is 1487005872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2660 LAKE SHORE AVE
LITTLE CANADA, MN
ZIP 55117-320
Phone: (612) 978-8393

The enumeration date for this NPI number is 6/27/2016 and was last updated on 6/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	174400000X	Specialist	105007	MINNESOTA	No
2	174400000X	Specialist	OT01543	RHODE ISLAND	No
3	174400000X	Specialist	9926	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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