Jacey Jo Wenner
Jacey Jo Wenner is an Occupational Therapist in Private Practice in Saint Peter, Minnesota. Qualified in 2022, 4 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
830 Sunrise Dr Ste BSaint Peter, MN 56082-1203
Phone: (507) 935-3573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 106966 (MN) |
|---|---|
| Pediatric Occupational Therapist | Taxonomy 225XP0200X · Licence 5937 (MN) |
Record details
| NPI number | 1225760804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 30, 2022 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | 830 Sunrise Dr Ste B, Saint Peter, MN 56082-1203 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Odom Sports Medicine Pa — 69 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |