Healthcare Provider Details
I. General information
NPI: 1518894070
Provider Name (Legal Business Name): T&T TOTAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 WHITE OAK AVE
PLOVER WI
54467-4107
US
IV. Provider business mailing address
510 WHITE OAK AVE
PLOVER WI
54467-4107
US
V. Phone/Fax
- Phone: 414-394-2940
- Fax:
- Phone: 414-394-2940
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OCTAVIA
MAPP
Title or Position: OWNER
Credential:
Phone: 414-394-2940