MR. JEFFREY JOHN KOTULSKI (NPI# 1740386176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740386176 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY JOHN KOTULSKI |
| Credential | D.O. |
| Practice Address |
45 Teton Lane Mankato MN 56001 |
| Practice Telephone | 5073887488 |
| Practice Fax Number | 5073885680 |
| Mailing Telephone | 5073887488 |
| Mailing Fax Number | 5073885680 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 37416 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 37416 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 560320000 | 05 |
| Street Address |
45 TETON LANE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952450702 | Patricia Ruth Anderson | Registered Nurse | 45 Teton Lane, Mankato, MN 56001 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470462 | Between The Bridges Healing Center, LLC | Neuromusculoskeletal Medicine & OMM | 45 Teton Ln, Mankato, MN 56001-4814 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564108 | Scott R Corbett | Neuromusculoskeletal Medicine & OMM | 3601 Park Center Blvd Ste 308, Saint Louis Park, MN 55416-2525 | 2006-10-19 |
| 1235166992 | Bryant Richard Beehler | Neuromusculoskeletal Medicine & OMM | 14133 Orchid St Nw, Andover, MN 55304-3283 | 2006-06-27 |
| 1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
| 1518445691 | University of Minnesota | Neuromusculoskeletal Medicine & OMM | 515 Delaware St. Se, Moos Tower, Room 13-129, Minneapolis, MN 55455 | 2018-08-01 |
| 1720333891 | Courtenay E Deane | Neuromusculoskeletal Medicine & OMM | 320 E Main St, Crosby, MN 56441-1645 | 2012-07-16 |
| 1841555984 | Timothy Sheneman | Neuromusculoskeletal Medicine & OMM | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2012-07-04 |
| 1710253752 | Wangcai Gao | Neuromusculoskeletal Medicine & OMM | 225 Smith Ave N #500, St Paul, MN 55102 | 2012-03-23 |
| 1184767204 | Joan F Dawson | Neuromusculoskeletal Medicine & OMM | 7300 France Ave So, Suite 405, Edina, MN 55435-4544 | 2007-02-15 |
| 1477645083 | Lisa Ellen Putney | Neuromusculoskeletal Medicine & OMM | 403 America Ave Nw, Bemidji, MN 56601-3122 | 2006-09-29 |
| 1689615973 | Mark Lee Martin | Neuromusculoskeletal Medicine & OMM | 350 E Sarnia St, Winona, MN 55987-3803 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JEFFREY JOHN KOTULSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.