Cortney Higgins

Individual provider Active NPI Occupational Therapy Assistant · Palmyra, WI

NPI 1093229015 · NPPES record last updated May 16, 2019

Key facts

NPI
1093229015
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
N1548 State Road 106
Palmyra, WI 53156-9678
Phone
(262) 364-6967
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

N1548 State Road 106
Palmyra, WI 53156-9678

Mailing address

N1548 State Road 106
Palmyra, WI 53156-9678

Other identifiers

IdentifierTypeStateIssuer
1441212213MedicaidWI

Other providers in Palmyra, WI

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

Sources for this page

Verify at the official NPI Registry.