Nicole Tetrault is a Shoreview, Minnesota based therapist who is specialized in Occupational Therapy. Active license number of Nicole Tetrault is 104647 for Occupational Therapy in Minnesota. Her current practice location is 490 Highway 96 W Ste 300, Shoreview. Patients can reach her at 651-451-3016. Nicole Tetrault is OTR in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1568873644.
Nicole Tetrault provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Nicole Tetrault speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Tetrault |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR |
| Practice Address: | 490 Highway 96 W Ste 300, Shoreview,
Minnesota, 55126-1961 |
| Phone: | 651-451-3016 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568873644 |
| NPI Enumeration Date: | 12 May, 2014 |
| NPI Last Update On: | 29 Nov, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Tetrault are as mentioned below.
| License Number | Specialization | State | Status | |
| 104647 | Occupational Therapy | Minnesota | Primary | |
| Occupational Therapy | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Tetrault such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200603998 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Tetrault
490 Highway 96 W Ste 300,
Shoreview, Minnesota |
| Zip: | 55126-1961 |
| Phone Number: | 651-451-3016 |
Patients can reach Nicole Tetrault at
490 Highway 96 W Ste 300, Shoreview, Minnesota or can
call to book an appointment on 651-451-3016.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.