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General NPI Number Information
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NPI Number | 1912896275
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Entity Type | Organization
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Legal Business Name | PLAYLAB COLLECTIVE, INC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 5300 S 76TH ST
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City | GREENDALE
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State | WI
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Zip | 53129-1102
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Country | US
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Telephone | 262-497-7270
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Fax | 877-540-0135
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Provider Business Mailing Address
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Address Line | 2335 S GREEN BAY RD
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City | RACINE
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State | WI
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Zip | 53406-4921
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Country | US
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Telephone | 262-497-7270
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Fax | 877-540-0135
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY MYERS
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Credential | MS CCC SLP
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Telephone | 262-721-7357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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