Search › Minnesota › 101YA0400X
Kelly Villa
NPI 1174472328 · on the registry since 2026
Practice
- Address
- 114 Minnesota St. Sandstone, Mn 55072
Sandstone, MN 55072 - Phone
- (218) 380-2551
- Fax
- (218) 520-3913
- Organisation at this address
- Recovery Roots Supportive Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota