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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY BANTLEON

Active Sole Proprietor

TRACY BANTLEON is a Occupational Therapist healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1811301591 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SHEBOYGAN, WI

Registration Details

NPI Number
1811301591
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2014 (12.174132411534 yrs)
Last Updated
Jun 20, 2014
License
1999-19 (WI)
Sole Proprietor
Yes

Practice Information

Address
3129 MICHIGAN AVE
SHEBOYGAN, WI, 530813062
Browse WI providers · Browse ZIP 53081
Phone
9204581155
Fax
9204581173
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SHEBOYGAN, WI

Name Credential NPI
KRISTIN ANN DVORACHEK PTA 1619940855
BRENT S VOSKUIL P.T.A. 1063599975
MRS. SAMANTHA LYN FETTERER PTA 1740492404
GINGER ADAMS PTA 1760683510
NICK KARVELAS PTA 1154502946
BRIDGET C BOY PTA 1013189745
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.