Provider Demographics
NPI:1740405638
Name:MAY, KAREN G (OTR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:MAY
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 1:2708 IDAHO AVE S
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-3353
Mailing Address - Country:US
Mailing Address - Phone:952-926-3827
Mailing Address - Fax:
Practice Address - Street 1:324 JOHNSON PKWY
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-6412
Practice Address - Country:US
Practice Address - Phone:651-793-3225
Practice Address - Fax:651-793-3213
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100795225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN245260AMedicare ID - Type UnspecifiedPROVIDER NUMBER