MR. JEFFREY JOHN KOTULSKI D.O. NPI 1740386176

NPI Information

  • NPI: 1740386176
  • Provider Name: MR. JEFFREY JOHN KOTULSKI, D.O.
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 45 TETON LANE
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 388-7488

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NPI Details

MR. Jeffrey John Kotulski, D.O. is a neuromusculoskeletal medicine omm in Mankato, MN. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. MR. Jeffrey John Kotulski, D.O. NPI is 1740386176. 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:

45 TETON LANE
MANKATO, MN
ZIP 56001
Phone: (507) 388-7488
Fax: (507) 388-5680

The NPI 1740386176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 2/18/2011.

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 Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine37416MINNESOTANo
2204D00000XNeuromusculoskeletal Medicine & OMM37416MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120000066MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2560320000MEDICAIDMINNESOTA
3F63604MEDICARE UPIN

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: 11/21/2025

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