Gretta Bolstad
Gretta Bolstad is an Other Technician in Shakopee, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4201 Dean Lakes BlvdShakopee, MN 55379-2829
Phone: (612) 416-1301
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1982333118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 4, 2022 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
| Mailing address | 19151 Brookwood Rd, Prior Lake, MN 55372-9740 |
Other providers in Shakopee
-
Emily Chadderdon
4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 · (612) 416-1301
-
Taylor Donart
4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 · (612) 509-6680
-
Grace Lee
4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 · (612) 509-6680
-
Tania Mejia
835 4th Ave W, Shakopee, MN 55379-1116 · (952) 564-8347