Individual provider · Type 1 NPI

Kim M. Waterbury, MS, OTRL, CHT

Occupational Therapist · Bloomington, MN

NPI number 1023215720 Active

Practice location

8100 Northland Dr
Bloomington, MN 55431-4800

Mailing address

2532 Eagle Valley Dr
Woodbury, MN 55129-4206

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102434 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1023215720

Kim M. Waterbury, MS, OTRL, CHT's National Provider Identifier is 1023215720, issued on Jun 27, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bloomington, MN. The record was last updated on Jul 8, 2007.