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

Mariah Kathleen Picka

Individual provider Occupational Therapy Assistant · NPI 1104419639

Mariah Kathleen Picka is an Occupational Therapy Assistant in Lake Elmo, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

12910 12th St N
Lake Elmo, MN 55042-8602
Phone: (651) 242-3453
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 449927 (MN)

Record details

NPI number1104419639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address12910 12th St N, Lake Elmo, MN 55042-8602