Individual provider · Type 1 NPI

Kelly Eileen Hettich, COTA

Occupational Therapy Assistant · Verona, WI

NPI number 1912847674 Active

Practice location

700 N Main St
Verona, WI 53593-1103

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1669-27 (WI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1912847674

Kelly Eileen Hettich, COTA's National Provider Identifier is 1912847674, issued on Mar 31, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Verona, WI. The record was last updated on Mar 31, 2026.