Individual
EMMY KIECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7370
(715) 526-7294
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1069197
WI
Other
Enumeration date
01/03/2007
Last updated
05/06/2024
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