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

Individual provider Occupational Therapy Assistant · NPI 1548198617

Tara Wideman is an Occupational Therapy Assistant in Waupaca, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

1515 Shoemaker Rd
Waupaca, WI 54981-2093
Phone: (715) 258-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1548198617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address8040 Lake Thomas Rd, Amherst, WI 54406-9011

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