Individual ProviderKailey OkonekPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Kailey Okonek does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194556373Provider TypeIndividualFull NameOkonek, KaileyCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date8/9/2024Last Updated8/9/2024Contact InformationPractice LocationPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address1300 Valley High Dr, Bloomington, MN 55431-4145PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13653Minnesota