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

Kim Lee Hackett, COTA

Individual provider Occupational Therapy Assistant · NPI 1699178996

Kim Lee Hackett, COTA is an Occupational Therapy Assistant in Marshall, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

425 Farnham St Apt 6
Marshall, WI 53559-9624
Phone: (608) 320-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5119-27 (WI)

Record details

NPI number1699178996
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 30, 2014
Last updated in NPPESSeptember 30, 2014
Mailing address425 Farnham St, Apt. 6, Marshall, WI 53559

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