Kimberly S. Tiesma

Occupational Therapist · Maple Grove, MN

Individual Active NPI

NPI number 1225982267

Practice location

11200 93rd Ave N
Maple Grove, MN 55369-3669
Phone
(763) 391-7000

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NPI record

NPI
1225982267
Entity type
Individual (Type 1)
Enumeration date
February 25, 2026
Last updated
February 25, 2026
Certified
February 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 102387 MN

About Kimberly Tiesma

Kimberly S. Tiesma is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 11200 93rd Ave N, Maple Grove, MN 55369-3669. The NPI number 1225982267 was assigned on February 25, 2026 and the record was last updated on February 25, 2026.

Kimberly Tiesma lists a license in the registry: #102387 (MN) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly S. Tiesma?

The NPI number is 1225982267.

What is the phone number of Kimberly Tiesma?

The phone number listed for the practice location is (763) 391-7000.

Where is Kimberly Tiesma located?

11200 93rd Ave N, Maple Grove, MN 55369-3669.

What is the taxonomy code for Kimberly Tiesma?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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