Healthcare Provider Details

I. General information

NPI: 1407022841
Provider Name (Legal Business Name): LAFAYETTE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BEV ANDERSON DR.
DARLINGTON WI
53530
US

IV. Provider business mailing address

211 BEV ANDERSON DR
DARLINGTON WI
53530-8801
US

V. Phone/Fax

Practice location:
  • Phone: 608-776-4466
  • Fax:
Mailing address:
  • Phone: 608-776-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateWI

VIII. Authorized Official

Name: MARIE WAMSLEY
Title or Position: CEO
Credential:
Phone: 608-776-4466