IndividualActive
Alexa Wild, OT
NPI 1972252450 · Occupational Therapist · Green Bay, WI
Provider details
- NPI number
- 1972252450
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 6018 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-4776
Fax: (920) 288-3594
Approximate (ZIP-level) locationGet directions
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.