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

Mrs. Kristin Suzanne Soderholm, OTR

Individual provider Occupational Therapist · NPI 1487931622

Mrs. Kristin Suzanne Soderholm, OTR is an Occupational Therapist in Private Practice in Monticello, Minnesota. Qualified in 1996, 30 years ago. Practices with Optage Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2011
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1107 Hart Blvd
Monticello, MN 55362-8538
Phone: (763) 295-6878
Fax: (763) 271-6860
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 101509 (MN)

Record details

NPI number1487931622
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Optage Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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