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

Individual provider Occupational Therapist · NPI 1508923053

Emmy Kiecker, OTR is an Occupational Therapist in Shawano, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-7370
Fax: (715) 526-7294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1405 Mill St, New London, WI 54961-2155 — (920) 531-2031

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1069197 (WI)

Record details

NPI number1508923053
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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