Individual provider · Type 1 NPI

Jenna Kristine Keller

Occupational Therapist · Shawano, WI

NPI number 1124772355 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Mailing address

N4640 Rexford Rd
Shiocton, WI 54170-8816

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7166-26 (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 1124772355

Jenna Kristine Keller's National Provider Identifier is 1124772355, issued on Feb 7, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shawano, WI. The record was last updated on Feb 7, 2022.