Provider Demographics
NPI:1215374053
Name:MISCHLER, ALLISON MARIE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARIE
Last Name:MISCHLER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:MISCHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:316 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:KAUKAUNA
Mailing Address - State:WI
Mailing Address - Zip Code:54130-3304
Mailing Address - Country:US
Mailing Address - Phone:920-766-6020
Mailing Address - Fax:920-759-1937
Practice Address - Street 1:316 E 14TH ST
Practice Address - Street 2:
Practice Address - City:KAUKAUNA
Practice Address - State:WI
Practice Address - Zip Code:54130-3304
Practice Address - Country:US
Practice Address - Phone:920-766-6020
Practice Address - Fax:920-759-1937
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant