Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN WIRTZ
Active Sole ProprietorKAITLYN WIRTZ is a Occupational Therapist healthcare provider located in ARGYLE, Wisconsin. NPI 1174910749 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ARGYLE, WI
Registration Details
- NPI Number
- 1174910749
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2015 (11.298164352086 yrs)
- Last Updated
- Apr 22, 2015
- Licenses
-
1978 (WI)160005722 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
409 S LAFAYETTE STARGYLE, WI, 535049763Browse WI providers · Browse ZIP 53504
- Phone
- 6082931187
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
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.