Organization
FUNCTIONAL INTEGRATED THERAPY, LTD
Active
Other names
Functional Kids Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI KAY WORRELL OTR/L (OWNER/OPERATOR)
(651) 770-8884
Entity
Organization
Contact information
Practice address
2495 MAPLEWOOD DRIVE, SUITE 313, MAPLEWOOD, MN 55109-1913
(651) 770-8884
(651) 770-8151
Mailing address
2495 MAPLEWOOD DRIVE, SUITE 313, MAPLEWOOD, MN 55109-1913
(651) 770-8884
(651) 770-8151
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
100591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007336046
AETNA
MN
01
—
133343
CHOICE PLUS/PATIENT CHOIC
MN
01
—
181389
UCARE INDIVIDUAL
MN
01
—
18905
PREFERRED ONE
MN
01
—
28D39FU
BLUE CROSS BLUE SHIELD
MN
01
—
36655
ST PAUL ELECTRICAL WORKER
MN
01
—
6401782
MEDICA
MN
05
—
670043800
—
MN
01
—
75732
HEALTH PARTNERS
MN
01
—
J053
UCARE GROUP
MN
Enumeration date
10/09/2006
Last updated
03/31/2009
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