Individual provider · Type 1 NPI

Kimberly Ileana Jacobs, OTR

Occupational Therapist · New London, WI

NPI number 1073608683 Active

Practice location

1405 Mill St
New London, WI 54961-2155

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 727 Hwy Nn, Mukwonago, WI 53149 · (262) 363-3014

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3746-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073608683

Kimberly Ileana Jacobs, OTR's National Provider Identifier is 1073608683, issued on Oct 3, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New London, WI. The record was last updated on Aug 6, 2025.