MEDICARE: SHEILA STAPLETON LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	620-39	WI
2	225700000X	Massage Therapist	3710-146	WI

General Provider Information

NPI Number	:	1386142826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA STAPLETON LMT

Provider Business Mailing Address
First Line	:	1009 E KEEFE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-1710
Country	:	US
Telephone Number	:	414-534-7764
Fax Number	:

Provider Business Practice Location Address
First Line	:	2499 S DELAWARE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-1941
Country	:	US
Telephone Number	:	414-534-7764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	01/30/2018

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Directions to “ SHEILA STAPLETON LMT” Practice Location

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