MEDICARE: AMY LATHROP 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	4402-026	WI

General Provider Information

NPI Number	:	1730254517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LATHROP OTR

Provider Business Mailing Address
First Line	:	1019 MCHUGH RD
Second Line	:
City	:	HOLMEN
State	:	WI
Zip	:	54636-9296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 MCHUGH RD
Second Line	:
City	:	HOLMEN
State	:	WI
Zip	:	54636-9296
Country	:	US
Telephone Number	:	608-526-6610
Fax Number	:

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	06/02/2026

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Directions to “ AMY LATHROP OTR” Practice Location

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