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

Jenna Kristine Keller

Individual provider Occupational Therapist · NPI 1124772355

Jenna Kristine Keller is an Occupational Therapist in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-7370
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7166-26 (WI)

Record details

NPI number1124772355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022
Mailing addressN4640 Rexford Rd, Shiocton, WI 54170-8816

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