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

Jennifer Mavis

Individual provider Occupational Therapist · NPI 1205264843

Jennifer Mavis is an Occupational Therapist in Gresham, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

501 Schabow St
Gresham, WI 54128-9505
Phone: (715) 787-3211
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6143-26 (WI)

Record details

NPI number1205264843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2013
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address223 W Park St, Gillett, WI 54124-9414