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

Kelsey Mackereth, COTA

Individual provider Occupational Therapy Assistant · NPI 1881046233

Kelsey Mackereth, COTA is an Occupational Therapy Assistant in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1119 Owens St N
Stillwater, MN 55082-4316
Phone: (651) 439-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 360360 (MN)

Record details

NPI number1881046233
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016
Mailing address1119 Owens St N, Stillwater, MN 55082-4316

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