Healthcare Provider Details

I. General information

NPI: 1275774812
Provider Name (Legal Business Name): NANCY HOHENSEE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY PEASLEY PT

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16985 W BLUEMOUND RD
BROOKFIELD WI
53005-5909
US

IV. Provider business mailing address

17280 W NORTH AVE #104
BROOKFIELD WI
53045-4366
US

V. Phone/Fax

Practice location:
  • Phone: 262-821-4460
  • Fax:
Mailing address:
  • Phone: 262-780-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6208
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: