Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Lee Hackett, COTA

Individual provider Occupational Therapy Assistant · NPI 1699178996

Kim Lee Hackett, COTA is an Occupational Therapy Assistant in Marshall, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

425 Farnham St Apt 6
Marshall, WI 53559-9624
Phone: (608) 320-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5119-27 (WI)

Record details

NPI number1699178996
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 30, 2014
Last updated in NPPESSeptember 30, 2014

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