Provider Demographics
NPI:1689405102
Name:KLEINDL, CALLIE MARIE (OTR)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:MARIE
Last Name:KLEINDL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 730TH AVE
Mailing Address - Street 2:
Mailing Address - City:GRACEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56240-3002
Mailing Address - Country:US
Mailing Address - Phone:320-349-0863
Mailing Address - Fax:
Practice Address - Street 1:301 FLYNN DR STE 3
Practice Address - Street 2:
Practice Address - City:MILBANK
Practice Address - State:SD
Practice Address - Zip Code:57252-1509
Practice Address - Country:US
Practice Address - Phone:605-432-3173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist