Provider Demographics
NPI:1518485556
Name:ELSPERGER, ALISHA (MOTR/L)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:ELSPERGER
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23747 FOOTHILLS DR
Mailing Address - Street 2:
Mailing Address - City:DEERWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56444-6329
Mailing Address - Country:US
Mailing Address - Phone:320-292-2166
Mailing Address - Fax:
Practice Address - Street 1:604 OAK ST
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:MN
Practice Address - Zip Code:56441-1244
Practice Address - Country:US
Practice Address - Phone:320-292-2166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106871225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist