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

Kelly Marie Widule, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1720589161

Kelly Marie Widule, OTR/L is a Pediatric Occupational Therapist in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2705 Enloe St
Hudson, WI 54016-8173
Phone: (715) 690-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6214-26 (WI)
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1720589161
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 21, 2018
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

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