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

Individual provider Occupational Therapist · NPI 1114454188

Amanda Rae Koethe, OTR is an Occupational Therapist in Coon Rapids, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone: (763) 236-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1114454188
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 21, 2017
Last updated in NPPESApril 5, 2020
Certification dateApril 5, 2020

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