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

Individual provider Hand Occupational Therapist · NPI 1154722346

Kimberly Lynn Gustafson, OT is an Occupational Therapist in Private Practice in Edina, Minnesota. Qualified in 2014, 12 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

4010 W 65th St
Edina, MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 104692 (MN)

Record details

NPI number1154722346
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 8, 2014
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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