Healthcare Provider Details

I. General information

NPI: 1225976541
Provider Name (Legal Business Name): AIMEE GRAPENTINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 COOLIDGE AVE STE B
RHINELANDER WI
54501-2263
US

IV. Provider business mailing address

10126 LITTLE ARBOR VITAE DR
ARBOR VITAE WI
54568-9797
US

V. Phone/Fax

Practice location:
  • Phone: 715-365-9700
  • Fax:
Mailing address:
  • Phone: 715-365-9160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1590046926
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: