IndividualActive
Kelly Jo Ketterhagen, MSOTR
NPI 1043428287 · Human Factors Occupational Therapist · Menomonee Falls, WI
Provider details
- NPI number
- 1043428287
- Entity type
- Individual
- Primary specialty
- Human Factors Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSOTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4355-026 (WI)
Practice location
N84w17049 Menomonee Ave
Menomonee Falls, WI 53051-2701
Phone: (262) 255-7050
Mailing address
4685 Autumn Trl
Richfield, WI 53076-9419
Registry dates
- Enumerated
- 2007-05-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.