Tracy Bantleon

Physical Therapy Assistant · Sheboygan, WI

Individual Active NPI

NPI number 1811301591

Practice location

3129 Michigan Ave
Sheboygan, WI 53081-3062
Phone
(920) 458-1155
Fax
(920) 458-1173

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NPI record

NPI
1811301591
Entity type
Individual (Type 1)
Enumeration date
June 20, 2014
Last updated
June 20, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 1999-19 WI

About Tracy Bantleon

Tracy Bantleon is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3129 Michigan Ave, Sheboygan, WI 53081-3062. The NPI number 1811301591 was assigned on June 20, 2014 and the record was last updated on June 20, 2014.

Tracy Bantleon lists a license in the registry: #1999-19 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Bantleon?

The NPI number is 1811301591.

What is the phone number of Tracy Bantleon?

The phone number listed for the practice location is (920) 458-1155.

Where is Tracy Bantleon located?

3129 Michigan Ave, Sheboygan, WI 53081-3062.

What is the taxonomy code for Tracy Bantleon?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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