Healthcare Provider Details

I. General information

NPI: 1649527524
Provider Name (Legal Business Name): AMBER M BUELTEMAN D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER M MARKLEIN

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 MARINETTE AVE
MARINETTE WI
54143-3801
US

IV. Provider business mailing address

2105 E ENTERPRISE AVE STE 113
APPLETON WI
54913-7862
US

V. Phone/Fax

Practice location:
  • Phone: 715-735-5500
  • Fax: 715-735-5502
Mailing address:
  • Phone: 920-991-2561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501016056
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11996-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: