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

Mrs. Kristin Nicole Wallace, MS, OTR

Individual provider Specialist · NPI 1366745804

Mrs. Kristin Nicole Wallace, MS, OTR is a Specialist in Appleton, Wisconsin. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1366745804
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR
Sole proprietorNo
NPI enumeratedDecember 6, 2010
Last updated in NPPESDecember 6, 2010

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