Provider Demographics
NPI:1760156434
Name:PASCHKE, KALEIGH MARGARET (OTR/L)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:MARGARET
Last Name:PASCHKE
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 1:2266 KEIM RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4007
Mailing Address - Country:US
Mailing Address - Phone:708-845-1691
Mailing Address - Fax:
Practice Address - Street 1:6383 E GIRARD PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7447
Practice Address - Country:US
Practice Address - Phone:303-756-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.014321225X00000X
COOT.0006875225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist