Jenelle Boyer, OTR/L, CLT
Individual provider Active NPI Occupational Therapist · Viroqua, WI
NPI 1124412499 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1124412499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3963-26 (WI)
- Practice address
- 407 S Main St
Suite 302
Viroqua, WI 54665-2100 - Phone
- (608) 637-4385
- NPI assigned
- Mar 25, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3963-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3963-26 | WI | Yes |
Addresses
Primary practice location
407 S Main St
Suite 302
Viroqua, WI 54665-2100
Mailing address
407 S Main St
Suite 302
Viroqua, WI 54665-2100
Phone (608) 637-4385
Other providers in Viroqua, WI
- Kylie Elizabeth Berger
- Paul E Bergquist
- Rita Gould Berkley
- Bethel Home and Services, Inc.
- John Arlen Bjerke
- Yvonne M Brault
- Terrie Braun-Johnson
- David R Breitbach
- Kristine K Brueggen
- Katherine E Burke
All providers in Viroqua, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.