MEDICARE: KATHY SAWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1295693075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY SAWYER

Provider Business Mailing Address
First Line	:	N1096 OLD 26 RD
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-9505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	N1096 OLD 26 RD
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-9505
Country	:	US
Telephone Number	:	920-397-8648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ KATHY SAWYER ” Practice Location

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