Katie M Cunningham, COTA
Individual provider Active NPI Occupational Therapy Assistant · Ashland, WI
NPI 1679019947 · NPPES record last updated Jan 11, 2017
Key facts
- NPI
- 1679019947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5293-27 (WI)
- Practice address
- 1635 Maple LN
Ashland, WI 54806-3610 - Phone
- (715) 685-5400
- Fax
- (715) 685-5102
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 5293-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5293-27 | WI | Yes |
Addresses
Primary practice location
1635 Maple LN
Ashland, WI 54806-3610
Mailing address
1635 Maple LN
Ashland, WI 54806-3610
Phone (715) 685-5400
Other providers in Ashland, WI
- Cpi Ashland, LLC
- Cpi Ashland, LLC
- Rebecca Crumb-Johnson
- Kelli Danielle Culver
- Justin Shawn Cummins
- Thomas C. Cunningham
- Stephen Charles Cushing
- Erin C Cutler
- Jacob Dalberg
- Leah A. Danner
All providers in Ashland, 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 Jan 11, 2017. 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.