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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLYN ROSE COUILLARD, PTA

Active Sole Proprietor

KAITLYN ROSE COUILLARD, PTA is a Occupational Therapist healthcare provider located in MARINETTE, Wisconsin. NPI 1174289938 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MARINETTE, WI

Registration Details

NPI Number
1174289938
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2021 (4.7142562729445 yrs)
Last Updated
Oct 17, 2024
Licenses
3203 (WI)
5502007910 (MI)
Sole Proprietor
Yes

Practice Information

Address
3117 SHORE DR
MARINETTE, WI, 541434293
Browse WI providers · Browse ZIP 54143
Phone
7157325111
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MARINETTE, WI

Name Credential NPI
MARY BUSH 1508972704
SHEREE TODT 1962508036
MR. PETER D CARRIVEAU PHYSICAL THERAPY AST 1124100045
MISS JENNIFER A MILLER PTA 1861574774
MS. JULIE OLSEN PTA 1992887830
MRS. SUSAN M MOLLE PTA 1407938343
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.