Kieck, Amber
Kieck, Amber is an sole proprietor health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Kieck, Amber can be contacted via phone (414) 321-2255.Contact Information
Primary practice address
2424 S 90Th St
West Allis WI 53227-2455
Phone: (414) 321-2255
Fax: (414) 321-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 4736-26 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4736 | Wisconsin |
Profile Details
| NPI number | 1780128124 |
|---|---|
| LBN Legal business name | Kieck, Amber |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2016 |
| Last updated | Oct 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780128124 | NPPES |
| Wisconsin | Other | 4736-26 | OTR-L |
| Wisconsin | MEDICAID | 100247870 | OTR-L |
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