Individual provider · Type 1 NPI

Kendall Luckeroth, OTR/L

Occupational Therapist · Appleton, WI

NPI number 1245843267 Active

Practice location

2575 E Evergreen Dr
Appleton, WI 54913-8910

Call (920) 969-5353 Map

Mailing address

918 Saint Marys St
De Pere, WI 54115-1025

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6711-26 (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 1245843267

Kendall Luckeroth, OTR/L's National Provider Identifier is 1245843267, issued on Aug 28, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Appleton, WI. The record was last updated on Sep 4, 2026.