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

Kimberly Leis, OTA

Individual provider Occupational Therapy Assistant · NPI 1477942191

Kimberly Leis, OTA is an Occupational Therapy Assistant in Elroy, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

307 Royall Ave
Elroy, WI 53929-1044
Phone: (608) 462-8491
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5084-27 (WI)

Record details

NPI number1477942191
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedJanuary 19, 2015
Last updated in NPPESJanuary 19, 2015
Mailing address24352 County Highway M, Wilton, WI 54670-6012

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