Individual provider · Type 1 NPI

Kimberly S. Tiesma

Occupational Therapist · Maple Grove, MN

NPI number 1225982267 Active

Practice location

11200 93rd Ave N
Maple Grove, MN 55369-3669

Call (763) 391-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102387 (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 1225982267

Kimberly S. Tiesma's National Provider Identifier is 1225982267, issued on Feb 25, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 25, 2026.