Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Lea Johnston, OTR/L

Individual provider Occupational Therapist · NPI 1669571261

Mrs. Stacy Lea Johnston, OTR/L is an Occupational Therapist in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

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

4415 36 1/2 St W
St Louis Park, MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
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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 100740 (MN)

Record details

NPI number1669571261
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 2, 2012

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