Individual provider · Type 1 NPI

Lisa Ketchmark

Occupational Therapist · Shoreview, MN

NPI number 1699603183 Active

Practice location

4570 Victoria St N
Shoreview, MN 55126-5800

Call (651) 621-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1699603183

Lisa Ketchmark's National Provider Identifier is 1699603183, issued on May 13, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shoreview, MN. The record was last updated on May 13, 2026.