Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY LAKE
ActiveKENNEDY LAKE is a Occupational Therapist healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1679435408 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOUNT PLEASANT, WI
Registration Details
- NPI Number
- 1679435408
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Dec 1, 2025 (0.7071246755084 yrs)
- Last Updated
- Dec 23, 2025
- License
-
9045 (WI)
Practice Information
- Address
-
13250 WASHINGTON AVEMOUNT PLEASANT, WI, 531771516Browse WI providers · Browse ZIP 53177
- Phone
- 2627998330
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| DOREEN LAMBERT | OT | 1356510234 |
| JENNIFER L BARBIAN | OTR | 1063790251 |
| CHRISTINA HOFFMAN | OTR | 1699010215 |
| HEATHER KAY DEBRUIN | OTR MS | 1295175545 |
| JESSICA LYNN THOMPSON | MS, OTR/L | 1336577303 |
| MRS. MELISSA MARIE PUST | M.S. OTR/L | 1427467877 |
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.