MEDICARE: HALIE JEAN RICHARDS OTR

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1386150050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIE JEAN RICHARDS OTR

Provider Business Mailing Address
First Line	:	10572 E OLSON LN
Second Line	:
City	:	POPLAR
State	:	WI
Zip	:	54864-9147
Country	:	US
Telephone Number	:	715-817-0428
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 CENTRAL AVE
Second Line	:
City	:	SUPERIOR
State	:	WI
Zip	:	54880-5963
Country	:	US
Telephone Number	:	715-394-8785
Fax Number	:

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

Provider Enumeration Date	:	12/18/2017
Last Update Date	:	01/15/2026

Similar Medicare Providers

1053254771 — JASON CLYDE LEVEILLE RN
Practice Location Address:

1423 CENTRAL AVE
SUPERIOR, WI
54880-5963

Practice Phone: 715-394-8785
Practice Fax:

1346672490 — DANIELLE MARIE RHINEHART PTA
Practice Location Address:

1423 CENTRAL AVE
SUPERIOR, WI
54880-5963

Practice Phone: 715-394-8785
Practice Fax:

1245198597 — MARY BALCER MA, CCC/SLP
Practice Location Address:

1423 CENTRAL AVE
SUPERIOR, WI
54880-5963

Practice Phone: 715-394-8785
Practice Fax:

1639027675 — MICHELLE TAVERA DPT
Practice Location Address:

1423 CENTRAL AVE
SUPERIOR, WI
54880-5963

Practice Phone: 715-394-8785
Practice Fax:

1417891573 — TRISTAN KERFELD
Practice Location Address:

129 N 28TH ST E
SUPERIOR, WI
54880-6548

Practice Phone: 715-395-8500
Practice Fax:

1669052171 — SUPERIOR BEHAVIORAL SERVICES
Practice Location Address:

5300 STINSON AVE
SUPERIOR, WI
54880-6313

Practice Phone: 218-216-7798
Practice Fax: 866-882-3314

Directions to “ HALIE JEAN RICHARDS OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.