NPI 1457738205

Bradley Kettersmith

Practitioner Occupational Therapist Robbinsdale, MN

Practice location

Address: 3815 W Broadway Ave, Robbinsdale, MN 55422-2207
Phone: (888) 873-4221

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 102146 (MN)

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Registry record

NPI: 1457738205
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2015
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.