Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interactive Therapy Services of Minnesota Inc

Organization Speech-Language Pathologist · NPI 1083005664

Interactive Therapy Services of Minnesota Inc is a Speech-Language Pathologist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14425 8th Ave N
Plymouth, MN 55447-4456
Phone: (651) 260-9915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6402 (MN)

Record details

NPI number1083005664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Ernest — President/Owner · (651) 770-8884
Other names Functional Kids Clinic
NPI enumeratedFebruary 18, 2015
Last updated in NPPESSeptember 2, 2025
Certification dateDecember 31, 2024
Mailing address14425 8th Ave N, Plymouth, MN 55447-4456

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