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NPI Code Detail

MEDICARE: SHERI BOHLMAN PT

MEDICARE: SHERI BOHLMAN PT
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
1225100000XPhysical Therapist5680WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578525846
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERI BOHLMAN PT
Provider Business Mailing Address
First Line : W239N1812 ROCKWOOD DR STE 100
Second Line : PROHEALTH CARE MEDICAL ASSOCIATES INC.
City : WAUKESHA
State : WI
Zip : 53188-1113
Country : US
Telephone Number : 262-523-0310
Fax Number :
Provider Business Practice Location Address
First Line : 17700 W CAPITOL DR
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-2006
Country : US
Telephone Number : 262-781-3083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 07/17/2018

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