Individual provider · Type 1 NPI

Kim Krystal Koike, OTR

Occupational Therapist · Waukesha, WI

NPI number 1699279604 Active

Practice location

3712 Fiddlers Creek Dr.
Waukesha, WI 53188

Call (314) 640-4724 Map

Mailing address

2014 S 102nd St Apt 309
West Allis, WI 53227-1350

Other practice locations

5737 Erie St, Racine, WI 53402-1970 · (314) 640-4724

Specialties and licenses

Taxonomy	Code	License
Preventive Medicine/Occupational Environmental Medicine Physician	2083P0500X	001148 (MO)
Occupational Medicine Physician	2083X0100X	001148 (MO)
Interventional Pain Medicine Physician	208VP0014X	001148 (MO)
Occupational Therapist	225X00000X	None listed
Occupational Therapist Primary	225X00000X	6645-26 (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 1699279604

Kim Krystal Koike, OTR's National Provider Identifier is 1699279604, issued on Mar 23, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Waukesha, WI. The record was last updated on Jun 7, 2023.