Healthcare Provider Details

I. General information

NPI: 1437053477
Provider Name (Legal Business Name): OLIVIA MUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 STAGELINE RD
HUDSON WI
54016-1793
US

IV. Provider business mailing address

405 STAGELINE RD
HUDSON WI
54016-1793
US

V. Phone/Fax

Practice location:
  • Phone: 715-531-6636
  • Fax:
Mailing address:
  • Phone: 715-531-6636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number5732-28
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: