HOLLY J GODFREY (NPI# 1750486395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750486395 |
| Entity Type | Individual |
| Full Name | HOLLY J GODFREY |
| Credential | OT |
| Practice Address |
13560 Wayzata Blvd Minnetonka MN 55305-1850 |
| Mailing Address |
3509 Lilac Ln Minnetonka MN 55345-1023 |
| Practice Telephone | 9525251883 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
103132 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705847 | Holly Godfrey | Counselor | 3606 N Rancho Dr Ste 142, Las Vegas, NV 89130-3130 | 2020-09-16 |
| 1144273368 | Holly Sandvik Godfrey | Audiologist | 1100 Tunnel Rd, Asheville, NC 28805-2043 | 2006-05-18 |
| Street Address |
13560 WAYZATA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441362 | Brian A Henjum | Family Medicine | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2005-07-20 |
| 1649369984 | Wanda W Andrews | Physician Assistant | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-10-12 |
| 1467541789 | Stephen L Hollenbeck | Family Medicine | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-10-12 |
| 1306941166 | Diane Maxine Clark | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| 1821193681 | Roderick Laine Youngdahl | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| 1245335009 | Sara Marie Bryan | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332294 | Kristi Lynn Demars | Occupational Therapist | 15450 Highway 7 Ste 125, Minnetonka, MN 55345-3522 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205256484 | Eunjin Kim | Occupational Therapist | 3832 Hillsboro Ave N, New Hope, MN 55427-1613 | 2014-04-25 |
| 1326344912 | Gregory Lee Rife | Occupational Therapist | 10230 Baltimore St Ne, Blaine, MN 55449-4674 | 2011-01-31 |
| 1184817819 | Lynn Allison Hatfield | Occupational Therapist | 6515 Barrie Rd Ste 100, Edina, MN 55435-2305 | 2007-08-27 |
| 1720206618 | Patrice K. Schober-branigan | Occupational Therapist | 280 Smith Ave N Ste 100, Saint Paul, MN 55102-2424 | 2007-04-23 |
| 1457484917 | Corey Weston Mcgee | Occupational Therapist | 6363 France Ave. South, Suite 404, Edina, MN 55435 | 2007-03-13 |
| 1437225125 | Michelle Anne Reiner | Occupational Therapist | 2855 Campus Dr Ste 300, Plymouth, MN 55441 | 2006-11-27 |
| 1134217367 | Maureen C Scanlan | Occupational Therapist | 3294 Rolling Hills Dr, Eagan, MN 55121-2357 | 2006-10-11 |
| 1609964915 | Karolyn J Paulson | Occupational Therapist | 310 Smith Ave N Ste 360, Saint Paul, MN 55102-2383 | 2006-10-11 |
| 1649365628 | Aileen M Roberts | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2006-10-04 |
| 1538254172 | Elizabeth Ann Mohror-hill | Occupational Therapist | 1500 Irving Street, Alexandria, MN 56308 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on HOLLY J GODFREY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.