Healthcare Provider Details

I. General information

NPI: 1275464729
Provider Name (Legal Business Name): KATELYN ASMUS OTR/L
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 S PIETY ST
ELLSWORTH WI
54011-9117
US

IV. Provider business mailing address

445 S PIETY ST
ELLSWORTH WI
54011-9117
US

V. Phone/Fax

Practice location:
  • Phone: 715-273-3900
  • Fax: 715-273-5775
Mailing address:
  • Phone: 715-273-3900
  • Fax: 715-273-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: