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

Willow Tree Support Services LLC

Organization In Home Supportive Care Agency · NPI 1245580265

Willow Tree Support Services LLC is an In Home Supportive Care Agency in Oshkosh, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2905 W 9th Ave
Oshkosh, WI 54904-6504
Phone: (920) 379-4388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X (WI)

Record details

NPI number1245580265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Tetzlaff — Owner · (920) 379-4388
NPI enumeratedSeptember 17, 2012
Last updated in NPPESSeptember 17, 2012
Mailing address2905 W 9th Ave, Oshkosh, WI 54904-6504

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