Provider Demographics
NPI:1023252046
Name:WITTE, SEAN P (OTR)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:P
Last Name:WITTE
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55807-1358
Mailing Address - Country:US
Mailing Address - Phone:218-343-1904
Mailing Address - Fax:
Practice Address - Street 1:MARSHFIELD CLINIC
Practice Address - Street 2:1000 N OAK AVENUE
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-5703
Practice Address - Country:US
Practice Address - Phone:715-221-5511
Practice Address - Fax:715-389-0626
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2377-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist