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

Jenna Rose Broihahn

Individual provider Occupational Therapist · NPI 1447878186

Jenna Rose Broihahn is an Occupational Therapist in Maple Grove, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

11318 86th Ave N
Maple Grove, MN 55369-4528
Phone: (651) 773-5988
Fax: (612) 314-5286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Park Nicollet Blvd # 300, St Louis Park, MN 55416-2527 — (952) 993-9278

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107637 (MN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1447878186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address11318 86th Ave N, Maple Grove, MN 55369-4528

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