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

Kimberly Leis, OTA

Individual provider Occupational Therapy Assistant · NPI 1477942191

Kimberly Leis, OTA is an Occupational Therapy Assistant in Elroy, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

307 Royall Ave
Elroy, WI 53929-1044
Phone: (608) 462-8491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5084-27 (WI)

Record details

NPI number1477942191
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedJanuary 19, 2015
Last updated in NPPESJanuary 19, 2015

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