Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

County of Waushara

Organization Early Intervention Provider Agency · NPI 1417120478

County of Waushara is an Early Intervention Provider Agency in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

380 S Townline Rd
Wautoma, WI 54982-6900
Phone: (920) 787-6550
Fax: (920) 787-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 1980 (WI)

Record details

NPI number1417120478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jen Gonzales — Account Clerk · (920) 787-6550
Other names Waushara County Clinical Services; Waushara County Therapy Services; Waushara County Therapy Services; Waushara County
NPI enumeratedApril 10, 2008
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address380 S Townline Rd, Wautoma, WI 54982-6900