Provider Demographics
NPI:1518519644
Name:HUKKA, NANCY COLLEEN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:COLLEEN
Last Name:HUKKA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12677 BEAUTY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-8065
Mailing Address - Country:US
Mailing Address - Phone:218-969-0587
Mailing Address - Fax:
Practice Address - Street 1:1101 E 37TH ST STE 20
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2972
Practice Address - Country:US
Practice Address - Phone:218-440-1548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK136708225X00000X
MN100413225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist