Healthcare Provider Details

I. General information

NPI: 1326081829
Provider Name (Legal Business Name): BONNIE ANN SCHLINDER-DELAP RKT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W NATIONAL AVE KINESIOTHERAPY -DOM 123 RM E132
MILWAUKEE WI
53295-0001
US

IV. Provider business mailing address

1165 TOWER HILL DR
BROOKFIELD WI
53045-6705
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-2000
  • Fax:
Mailing address:
  • Phone: 262-789-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number1271
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: