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

MS. Mindy J Wade, OTR

Individual provider Occupational Therapist · NPI 1194863415

MS. Mindy J Wade, OTR is an Occupational Therapist in Lake Mills, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

200 E Tyranena Park Rd
Lake Mills, WI 53551-9678
Phone: (920) 648-8170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3470026 (WI)

Record details

NPI number1194863415
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

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