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

Kylee Breanne Anderson

Individual provider Occupational Therapy Assistant · NPI 1023850740

Kylee Breanne Anderson is an Occupational Therapy Assistant in Jordan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

622 Aberdeen Ave
Jordan, MN 55352-9516
Phone: (952) 492-5559
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 202857 (MN)

Record details

NPI number1023850740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address505 Lynch St, Arlington, MN 55307-2071

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