Shannon Hackett, OTRL
Shannon Hackett, OTRL is an Occupational Therapist in Private Practice in St Cloud, Minnesota. Qualified in 1991, 35 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 35
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
3701 12th St N Ste 100St Cloud, MN 56303
Phone: (320) 253-7257
Fax: (320) 251-2938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X (MN) |
|---|
Record details
| NPI number | 1982622791 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRL |
| Sole proprietor | No |
| NPI enumerated | July 18, 2006 |
| Last updated in NPPES | February 14, 2008 |
| Mailing address | 3701 12th Street N, Suite 100, St Cloud, MN 56303 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1991 (35 years in practice) |
| Group practice | Centracare Clinic — 782 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in St Cloud
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Mr. Christopher S Harbaugh, OTRL
3701 12th St N Ste 100, St Cloud, MN 56303 · (320) 253-7257