Provider Demographics
NPI:1275044414
Name:KAMHOLZ, MORGAN LYNN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LYNN
Last Name:KAMHOLZ
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N1688 BRUNKOW RD
Mailing Address - Street 2:
Mailing Address - City:JUDA
Mailing Address - State:WI
Mailing Address - Zip Code:53550-9512
Mailing Address - Country:US
Mailing Address - Phone:608-558-8307
Mailing Address - Fax:
Practice Address - Street 1:202 N SHOW PLACE DR
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-5351
Practice Address - Country:US
Practice Address - Phone:608-558-8307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6153-26225X00000X
IL056012333225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist