Individual
KATHERINE E DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
605 MAIN STREET, STARBUCK, MN 56381
(320) 239-2217
(320) 239-7144
Mailing address
605 MAIN STREET, PO BOX 40, STARBUCK, MN 56381
(320) 239-2217
(320) 239-7144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022435
PREFERRED ONE
MN
01
—
030701011
PRIME WEST
MN
01
—
122234
UCARE
MN
01
—
290K9DA
BLUE CROSS BLUE SHIELD
MN
05
—
328542100
—
MN
01
—
6404894
MEDICA
MN
01
—
HP42792
HEALTH PARTNERS
MN
Enumeration date
04/11/2007
Last updated
07/08/2007
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