Healthcare Provider Details

I. General information

NPI: 1598558710
Provider Name (Legal Business Name): BUMP & BEYOND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 W CAPITOL DR STE 221A
MILWAUKEE WI
53216-2155
US

IV. Provider business mailing address

4595 W DONGES LN
BROWN DEER WI
53223-1443
US

V. Phone/Fax

Practice location:
  • Phone: 608-318-3686
  • Fax: 414-210-4437
Mailing address:
  • Phone: 414-307-0647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DANYALE WILDER
Title or Position: OWNER
Credential:
Phone: 414-307-0647