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

Jacqueline Rae Wagner, OTR/L

Individual provider Occupational Therapist · NPI 1861646010

Jacqueline Rae Wagner, OTR/L is an Occupational Therapist in Hudson, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1818 Stone Crk
Hudson, WI 54016-9338
Phone: (715) 441-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1246 University Ave W Ste 100, Saint Paul, MN 55104-4183 — (651) 603-8774

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6780-26 (WI)
Occupational Therapist Taxonomy 225X00000X
Occupational Therapist Taxonomy 225X00000X · Licence 103369 (MN)

Record details

NPI number1861646010
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedNovember 13, 2008
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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