Provider Demographics
NPI:1275908287
Name:THIEMAN, CHRISTEN JOANNE (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:JOANNE
Last Name:THIEMAN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BISHOPS WAY STE 154
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-6249
Mailing Address - Country:US
Mailing Address - Phone:414-702-2780
Mailing Address - Fax:
Practice Address - Street 1:120 BISHOPS WAY STE 154
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6249
Practice Address - Country:US
Practice Address - Phone:414-702-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1133624225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic