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

Mitchell Vandenboogard

Individual provider Occupational Therapy Assistant · NPI 1992274211

Mitchell Vandenboogard is an Occupational Therapy Assistant in De Pere, Wisconsin. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2018

Practice location Address checks out

200 S 9th St
De Pere, WI 54115-1393
Phone: (920) 338-4145
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 5530-27 (WY)

Record details

NPI number1992274211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018
Mailing address200 S 9th St, De Pere, WI 54115-1393

Other providers in De Pere