Individual provider · Type 1 NPI

Lacey Lynn Opperud Konickson, MOT

Occupational Therapist · Thief River Falls, MN

NPI number 1073703690 Active

Practice location

3001 Sanford Pkwy
Thief River Falls, MN 56701-2700

Call (701) 780-5000 Map

Fax (701) 780-1942

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X103465 (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 1073703690

Lacey Lynn Opperud Konickson, MOT's National Provider Identifier is 1073703690, issued on Jul 30, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Thief River Falls, MN. The record was last updated on Jul 26, 2024.