MEDICARE: THRIVING PARENT'S COLLECTIVE

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1720950421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVING PARENT'S COLLECTIVE

Provider Business Mailing Address
First Line	:	1648 PARK ST
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-3247
Country	:	US
Telephone Number	:	608-220-7491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1648 PARK ST
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-3247
Country	:	US
Telephone Number	:	608-220-7491
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JENNIFER BLUSKE
Credential	:
Telephone Number	:	608-220-7491

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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