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

Jennifer Prullage Theuerkauf, OTR

Individual provider Occupational Therapist · NPI 1922527084

Jennifer Prullage Theuerkauf, OTR is an Occupational Therapist in Private Practice in Minocqua, Wisconsin. Qualified in 2016, 10 years ago. Practices as a sole proprietor.

Years since qualifying
10
In the registry since
2017
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

9969 Old Highway 70
Minocqua, WI 54548-9010
Phone: (715) 356-6016
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1922527084
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 10, 2017
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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