Healthcare Provider Details

I. General information

NPI: 1588507610
Provider Name (Legal Business Name): ALEXIS LYNN CHRISTMAN COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 KIRSCHLING CT
STEVENS POINT WI
54481-7044
US

IV. Provider business mailing address

W7098 WIS-152
WAUTOMA WI
54982
US

V. Phone/Fax

Practice location:
  • Phone: 715-544-2322
  • Fax:
Mailing address:
  • Phone: 920-420-6699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number7309-27
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: