Individual
TARA WIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SHOEMAKER RD, WAUPACA, WI 54981-2093
(715) 258-4141
Mailing address
8040 LAKE THOMAS RD, AMHERST, WI 54406-9011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up