Jolie Beth Bestul X

Individual provider Active NPI Occupational Therapy Assistant · Iola, WI

NPI 1073409181 · NPPES record last updated Jun 16, 2025

Key facts

NPI
1073409181
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1153-27 (WI)
Practice address
505 W Iola St
Iola, WI 54945-9136
Phone
(715) 445-4440
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1153-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1153-27 WI Yes

Addresses

Primary practice location

505 W Iola St
Iola, WI 54945-9136

Mailing address

E1356 Madson Rd
Iola, WI 54945-9231
Phone (715) 445-4440

Other providers in Iola, WI

All providers in Iola, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.