MEDICARE: TONYA S BENZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	3877-26	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3877-26	OTHER	WI	OT

General Provider Information

NPI Number	:	1104848688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA S BENZ

Provider Business Mailing Address
First Line	:	6369 GOOSE LAKE DR
Second Line	:	COMPLIANCE MAIL CODE-2433
City	:	VERONA
State	:	WI
Zip	:	53593-9255
Country	:	US
Telephone Number	:	608-848-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	6369 GOOSE LAKE DR
Second Line	:	COMPLIANCE MAIL CODE-2433
City	:	VERONA
State	:	WI
Zip	:	53593-9255
Country	:	US
Telephone Number	:	608-848-1632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1942657820 — MELINDA KAY KLOPPEDAL RN, BSN, HTCP
Practice Location Address:

6359 GOOSE LAKE DR
VERONA, WI
53593-9255

Practice Phone: 608-332-8432
Practice Fax:

1275465189 — ALEXANDER MENDENHALL
Practice Location Address:

1049 N EDGE TRL
VERONA, WI
53593-1942

Practice Phone: 608-845-2100
Practice Fax:

1902738735 — EMILY PORTILLO SLP
Practice Location Address:

700 N MAIN ST
VERONA, WI
53593-1103

Practice Phone: 608-845-4300
Practice Fax:

1992638712 — SUSAN LEASE MS/CCC-SLP
Practice Location Address:

700 N MAIN ST
VERONA, WI
53593-1103

Practice Phone: 608-516-8345
Practice Fax:

1598698243 — OBSIDIAN INTEGRATIVE PSYCHIATRY, LLC
Practice Location Address:

9517 SILVERSTONE LN
VERONA, WI
53593-9185

Practice Phone: 608-692-5828
Practice Fax:

1386577674 — TAMER EL GOSBI
Practice Location Address:

901 WHALEN RD
VERONA, WI
53593-1765

Practice Phone: 608-229-1643
Practice Fax:

Directions to “ TONYA S BENZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.