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

Tracy Kopetsky

Individual provider Occupational Therapist · NPI 1114861416

Tracy Kopetsky is an Occupational Therapist in De Pere, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1700 Chicago St
De Pere, WI 54115-3418
Phone: (920) 337-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1114861416
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address790 Killarny Trl, De Pere, WI 54115-7116

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