Individual
KIM VETUSCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 39, JOHNSON CREEK, WI 53038-0039
(920) 541-4801
Mailing address
PO BOX 39, JOHNSON CREEK, WI 53038-0039
(920) 541-4801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2239-26
WI
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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