Provider Demographics
NPI:1316767213
Name:NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB-BUFFINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-413-0550
Mailing Address - Street 1:972 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-2039
Mailing Address - Country:US
Mailing Address - Phone:608-413-0550
Mailing Address - Fax:608-413-0552
Practice Address - Street 1:972 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-2039
Practice Address - Country:US
Practice Address - Phone:608-413-0550
Practice Address - Fax:608-413-0552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty