Organization
SOUTH METRO THERAPLAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA KAY MALECHA OTR/L (PRESIDENT)
(952) 758-5775
Entity
Organization
Contact information
Practice address
314 MAIN ST E, SUITE 3, NEW PRAGUE, MN 56071-2448
(952) 758-5775
(952) 758-5778
Mailing address
314 MAIN ST E, SUITE 3, NEW PRAGUE, MN 56071-2448
(952) 758-5775
(952) 758-5778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MN
235Z00000X
Speech-Language Pathologist
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101451
HEALTH PARTNERS PROVIDER#
MN
01
—
1040435
PREFERRED ONE PROVIDER#
MN
01
—
4600753
MEDICA PROVIDER#
MN
01
—
685S4SO
BCBS OT PROVIDER #
MN
01
—
685S8SO
BCBS SPEECH PROVIDER #
MN
01
—
7137545
AETNA PROVIDER#
MN
Enumeration date
08/10/2005
Last updated
09/11/2025
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