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

Nicole Willis

Individual provider Occupational Therapy Assistant · NPI 1003614652

Nicole Willis is an Occupational Therapy Assistant in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
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 201323 (MN)

Record details

NPI number1003614652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address4801 Veterans Dr, Saint Cloud, MN 56303-2015

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