Individual
SHAYLIN THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2030 RAHN WAY, EAGAN, MN 55122-2300
(612) 767-7222
Mailing address
2030 RAHN WAY, EAGAN, MN 55122-2300
(952) 767-2267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
091577
IA
225X00000X
Occupational Therapist
104823
MN
Other
Enumeration date
06/08/2015
Last updated
10/19/2021
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