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Tracy Bantleon
NPI 1811301591 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3129 Michigan Ave
Sheboygan, WI 53081 - Phone
- (920) 458-1155
- Fax
- (920) 458-1173
- Organisation at this address
- Nsh Sheboygan Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin