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

Miss. Laiken Addie Immormino

Individual provider Occupational Therapy Assistant · NPI 1760329502

Miss. Laiken Addie Immormino is an Occupational Therapy Assistant in Marshfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

814 W 14th St
Marshfield, WI 54449-4030
Phone: (715) 387-1188
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X (WI)

Record details

NPI number1760329502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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