Kelly Jo Ketterhagen, MSOTR

Individual provider Human Factors Occupational Therapist · NPI 1043428287

Kelly Jo Ketterhagen, MSOTR is an Occupational Therapist in Private Practice in Menomonee Falls, Wisconsin. Qualified in 2005, 21 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying: 21
Licensed in: WI
In the registry since: 2007

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Practice location Address checks out

N84W17049 Menomonee Ave
Menomonee Falls, WI 53051-2701
Phone: (262) 255-7050

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

Specialties & licences

Human Factors Occupational Therapist (primary)	Taxonomy 225XH1300X · Licence 4355-026 (WI)

Record details

NPI number	1043428287
Entity type	Individual (Type 1)
Gender	Female
Credentials	MSOTR
Sole proprietor	Yes
NPI enumerated	May 20, 2007
Last updated in NPPES	July 8, 2007

Medicare enrollment

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

Medicare specialty	OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2005 (21 years in practice)
Group practice	Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount