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

Susan Ann Wacker

Individual provider Occupational Therapist · NPI 1184454878

Susan Ann Wacker is an Occupational Therapist in Lake St Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

100 Medical Plz
Lake St Louis, MO 63367-1366
Phone: (636) 755-3578
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2005018057 (MO)

Record details

NPI number1184454878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

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