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

Mrs. Lisa Renee Haverly, MA/OT

Individual provider Pediatric Occupational Therapist · NPI 1275973042

Mrs. Lisa Renee Haverly, MA/OT is a Pediatric Occupational Therapist in Hudson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

477 Perch Lake Rd
Hudson, WI 54016
Phone: (715) 549-6021
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 3124-26 (WI)

Record details

NPI number1275973042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/OT
Sole proprietorYes
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 26, 2013

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