Kelsey C Gunderson

Individual provider Gerontology Occupational Therapist · NPI 1720660970

Kelsey C Gunderson is an Occupational Therapist in Private Practice in South Range, Wisconsin. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying: 6
Licensed in: MN
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

8274 E San Rd
South Range, WI 54874-8621
Phone: (715) 398-3523

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

Additional practice locations (1)

1000 E 1st St, Duluth, MN 55805-2297 — (218) 625-1884

Specialties & licences

Occupational Therapist (primary)	Taxonomy 225X00000X · Licence 106549 (MN)
Gerontology Occupational Therapist	Taxonomy 225XG0600X

Record details

NPI number	1720660970
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	April 27, 2021
Last updated in NPPES	January 5, 2026
Certification date	January 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2020 (6 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare