Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary R Vanravenhorst, OTR/L

Individual provider Occupational Therapist · NPI 1164493144

Mary R Vanravenhorst, OTR/L is an Occupational Therapist in Private Practice in Mankato, Minnesota. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Mankato Clinic Ltd, a 242-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

150 St Andrews Ct Ste 310
Mankato, MN 56001
Phone: (507) 388-5437
Fax: (507) 388-2108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 101743 (MN)

Record details

NPI number1164493144
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESApril 16, 2015

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Mankato Clinic Ltd — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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