Healthcare Provider Details

I. General information

NPI: 1487033262
Provider Name (Legal Business Name): JENALEE KAY BROWN MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENALEE KAY CHRISTOPHERSON MS OTR/L

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CALEDONIA ST
LA CROSSE WI
54603-2616
US

IV. Provider business mailing address

901 CALEDONIA ST
LA CROSSE WI
54603-2616
US

V. Phone/Fax

Practice location:
  • Phone: 608-785-4100
  • Fax:
Mailing address:
  • Phone: 920-539-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5683-26
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number104880
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: