Provider Demographics
NPI:1841772365
Name:RESCH, KARLA LEE STROMME
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:LEE STROMME
Last Name:RESCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MANTORVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55955-7102
Mailing Address - Country:US
Mailing Address - Phone:507-635-5369
Mailing Address - Fax:
Practice Address - Street 1:127 GUNDERSON BLVD
Practice Address - Street 2:
Practice Address - City:KENYON
Practice Address - State:MN
Practice Address - Zip Code:55946-1014
Practice Address - Country:US
Practice Address - Phone:507-789-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102351225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist