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

Individual provider Occupational Therapy Assistant · NPI 1326713694

Mackinzie Lee Verdegan, COTA is an Occupational Therapy Assistant in Bloomer, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
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

2217 Duncan Rd
Bloomer, WI 54724
Phone: (715) 641-0510
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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 5795-27 (WI)

Record details

NPI number1326713694
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 22, 2025
Certification dateAugust 10, 2021

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