Individual
KAITLYN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
(262) 376-6032
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 375-3700
(262) 376-6032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6658-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102715
—
WI
01
—
6658-26
WI STATE LICENSE
WI
Enumeration date
08/11/2020
Last updated
12/28/2021
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