Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM LEE HACKETT, COTA
Active Sole ProprietorKIM LEE HACKETT, COTA is a Occupational Therapy Assistant healthcare provider located in MARSHALL, Wisconsin. NPI 1699178996 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MARSHALL, WI
Registration Details
- NPI Number
- 1699178996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2014 (11.882568371322 yrs)
- Last Updated
- Sep 30, 2014
- License
-
5119-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 FARNHAM STAPT. 6MARSHALL, WI, 535599624Browse WI providers · Browse ZIP 53559
- Phone
- 6083209203
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.