Healthcare Provider Details

I. General information

NPI: 1861322737
Provider Name (Legal Business Name): RHYANN DELINE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N 18TH AVE
WEST BEND WI
53095-3059
US

IV. Provider business mailing address

235 N 18TH AVE
WEST BEND WI
53095-3059
US

V. Phone/Fax

Practice location:
  • Phone: 262-334-4070
  • Fax:
Mailing address:
  • Phone: 262-334-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6390-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: