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

Individual provider Occupational Therapist · NPI 1073158937

Kassandra R Kostock, MSOT is an Occupational Therapist in Lake Geneva, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
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Practice location Address checks out

700 Geneva Pkwy N Ste A
Lake Geneva, WI 53147-4594
Phone: (262) 249-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25250 75th St, Salem, WI 53168-8705 — (262) 843-4200

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6675-26 (WI)

Record details

NPI number1073158937
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT
Sole proprietorNo
NPI enumeratedNovember 14, 2019
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

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