Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JO KETTERHAGEN, MSOTR
Active Sole ProprietorKELLY JO KETTERHAGEN, MSOTR is a Human Factors Occupational Therapist healthcare provider located in MENOMONEE FALLS, Wisconsin. NPI 1043428287 is currently active in the NPPES registry. Verify at CMS.
Human Factors Occupational Therapist · MENOMONEE FALLS, WI
Registration Details
- NPI Number
- 1043428287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2007 (19.196352794004 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4355-026 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N84W17049 MENOMONEE AVEMENOMONEE FALLS, WI, 530512701Browse WI providers · Browse ZIP 53051
- Phone
- 2622557050
- Primary Specialty
-
Human Factors Occupational Therapist
225XH1300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.