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

MACKINZIE LEE VERDEGAN, COTA

Active Sole Proprietor

MACKINZIE LEE VERDEGAN, COTA is a Occupational Therapy Assistant healthcare provider located in BLOOMER, Wisconsin. NPI 1326713694 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BLOOMER, WI

Registration Details

NPI Number
1326713694
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2021 (4.8305354755904 yrs)
Last Updated
Aug 22, 2025
License
5795-27 (WI)
Sole Proprietor
Yes

Practice Information

Address
2217 DUNCAN ROAD
BLOOMER, WI, 54724
Browse WI providers · Browse ZIP 54724
Phone
7156410510
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BLOOMER, WI

Name Credential NPI
ANGELA MING 1568681500
CHRISTINE HIXON 1073720744
ROBIN A LOHSE COTA 1821317835
JAMEE L BECKER COTA 1467771477
MAYA NINNEMANN 1588976187
SAMANTHA SACKMAN 1093093627
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.