Provider Demographics
NPI:1124738612
Name:REEDY, ALISABETH ANN (OTR/L CLT)
Entity type:Individual
Prefix:
First Name:ALISABETH
Middle Name:ANN
Last Name:REEDY
Suffix:
Gender:F
Credentials:OTR/L CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:WI
Mailing Address - Zip Code:54773
Mailing Address - Country:US
Mailing Address - Phone:715-538-1713
Mailing Address - Fax:715-538-1700
Practice Address - Street 1:18601 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:WI
Practice Address - Zip Code:54773
Practice Address - Country:US
Practice Address - Phone:715-538-1713
Practice Address - Fax:715-538-1700
Is Sole Proprietor?:No
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist