Provider Demographics
NPI:1396228284
Name:SCHLEHLEIN, CINDY LEE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LEE
Last Name:SCHLEHLEIN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:LEE
Other - Last Name:DIETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:234 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MUSCODA
Mailing Address - State:WI
Mailing Address - Zip Code:53573-9176
Mailing Address - Country:US
Mailing Address - Phone:608-393-5338
Mailing Address - Fax:
Practice Address - Street 1:234 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MUSCODA
Practice Address - State:WI
Practice Address - Zip Code:53573-9176
Practice Address - Country:US
Practice Address - Phone:608-393-5338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2801-19225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant