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

KIMBERLY LEIS, OTA

Active Sole Proprietor

Occupational Therapy Assistant · ELROY, WI

Registration Details

NPI Number
1477942191
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2015 (11.287313499453 yrs)
Last Updated
Jan 19, 2015
License
5084-27 (WI)
Sole Proprietor
Yes

Practice Information

Address
307 ROYALL AVE
ELROY, WI, 539291044
Browse WI providers · Browse ZIP 53929
Phone
6084628491
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ELROY, WI

Name Credential NPI
JENNA WYSS 1770098352
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.