Individual provider · Type 1 NPI

Kelly Grack

Day Training/Habilitation Specialist · St. Cloud, MN

NPI number 1063251445 Active

Practice location

3721 23rd St S Ste 201
St. Cloud, MN 56301-6199

Call (605) 271-2690 Map

Mailing address

1105 W Russell St
Sioux Falls, SD 57104-1322

Specialties and licenses

Taxonomy	Code	License
Day Training/Habilitation Specialist Primary	373H00000X	None listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1063251445

Kelly Grack's National Provider Identifier is 1063251445, issued on May 23, 2024. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in St. Cloud, MN. The record was last updated on May 23, 2024.