Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kendall Luckeroth, OTR/L

Individual provider Occupational Therapist · NPI 1245843267

Kendall Luckeroth, OTR/L is an Occupational Therapist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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

2575 E Evergreen Dr
Appleton, WI 54913-8910
Phone: (920) 969-5353
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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 6711-26 (WI)

Record details

NPI number1245843267
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

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