NPI 1558485540

Michelle Jeanne Botko, MA

Practitioner Audiologist Maplewood, MN

Practice location

Address: 1560 Beam Ave STE 101, Maplewood, MN 55109-1191
Phone: (651) 777-7837
Fax: (651) 777-8754
Mailing address: 8800 SE Sunnyside Rd STE 300n, Clackamas, OR 97015-5703

Registered specialties (3)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 6249 (MN)

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Audiologist-Hearing Aid Fitter

Speech, Language and Hearing Service Providers Taxonomy 237600000X

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Hearing Instrument Specialist

Speech, Language and Hearing Service Providers Taxonomy 237700000X

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Registry record

NPI: 1558485540
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2007
Record last updated: 12 Jan 2018

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.