Individual provider · Type 1 NPI

Traci Lynn Kruse, OTD, MA, OTR/L

Occupational Therapist · Blaine, MN

NPI number 1760009153 Active

Practice location

11437 Kenyon Ct NE
Blaine, MN 55449-5483

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X103808 (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 1760009153

Traci Lynn Kruse, OTD, MA, OTR/L's National Provider Identifier is 1760009153, issued on Jul 1, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Blaine, MN. The record was last updated on Jul 1, 2020.