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

Kim R. Ruffalo, OTR, CLT-LANA

Individual provider Occupational Therapist · NPI 1720008915

Kim R. Ruffalo, OTR, CLT-LANA is an Occupational Therapist in Oconomowoc, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

541 S Sawyer Rd
Oconomowoc, WI 53066
Phone: (262) 244-7693
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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 826-026 (WI)

Record details

NPI number1720008915
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR , CLT-LANA
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007

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