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

Kristy E Wagner, COTA

Individual provider Occupational Therapy Assistant · NPI 1750673513

Kristy E Wagner, COTA is an Occupational Therapy Assistant in Berlin, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

225 Memorial Dr
Berlin, WI 54923
Phone: (920) 361-5534
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 4761027 (WI)

Record details

NPI number1750673513
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011
Mailing address6709 Whitetail Drive, Winneconne, WI 54986-8717

Other providers in Berlin