Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN RENEE LIESKE, COTA
Active Sole ProprietorJACLYN RENEE LIESKE, COTA is a Occupational Therapy Assistant healthcare provider located in LE SUEUR, Minnesota. NPI 1811710361 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LE SUEUR, MN
Registration Details
- NPI Number
- 1811710361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2024 (1.7553355688723 yrs)
- Last Updated
- Nov 4, 2024
- License
-
200079 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
621 S 4TH STLE SUEUR, MN, 560582203Browse MN providers · Browse ZIP 56058
- Phone
- 5076658689
- 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.