Christiane Herman, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Luck, WI
NPI 1649163726 · NPPES record last updated Jun 1, 2025
Key facts
- NPI
- 1649163726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 7181-27 (WI)
- Practice address
- 623 S 2ND St
Luck, WI 54853-9070 - Phone
- (715) 472-2164
- NPI assigned
- May 29, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7181-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7181-27 | WI | Yes |
Addresses
Primary practice location
623 S 2ND St
Luck, WI 54853-9070
Mailing address
2538 Timberland Rd
Barronett, WI 54813-9511
Phone (715) 645-0329
Other practice location 1
1016 Lakeshore Dr
Rice Lake, WI 54868-1225
Phone (715) 234-9101
Other practice location 2
205 United Way
Frederic, WI 54837-8938
Phone (715) 327-4297
Other providers in Luck, WI
- Lucas Andrew Boe
- Kelsey Marie Brewer
- Cynthia J Dupuis
- Todd James Elert
- Coramae F Eliason-Bunge
- Jaimee Holdt
- Richard Alfred Huset
- Mandy R Jeske
- Amelia Pearl King
- Carol K Lanza
All providers in Luck, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2025. 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.