Sequoia Integrative Medical Services Llc

Specialty details in registry · Kaukauna, WI

Call (920) 422-7402 Directions

At a glance

1746 Paul Dr, Kaukauna, WI 54130-3014

NPPES record updated Apr 17, 2026. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1746 Paul Dr
Kaukauna, WI 54130-3014

Professional details: NPI, taxonomy & registry record

NPI1790312171

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207QG0300X
Enumeration date: Mar 25, 2020
Record updated: Apr 17, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

104100000X

Family Medicine

207Q00000X

Specialty details in registry

207QG0300X · Primary

Occupational Therapist

225X00000X

Specialty details in registry

261QP2000X

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1746 Paul Dr
Kaukauna, WI 54130-3014

Phone: (920) 422-7402

Mailing address

PO BOX 411

RIVERSIDE, IL 605466411

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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