Provider Demographics
NPI:1679195267
Name:KIEFER, HANNAH MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:KIEFER
Suffix:
Gender:F
Credentials: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:N6287 490TH ST
Mailing Address - Street 2:
Mailing Address - City:BELDENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54003-5104
Mailing Address - Country:US
Mailing Address - Phone:715-928-1265
Mailing Address - Fax:
Practice Address - Street 1:1445 N 4TH ST
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-1063
Practice Address - Country:US
Practice Address - Phone:715-246-8211
Practice Address - Fax:715-246-8225
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation