Provider Demographics
NPI:1437737806
Name:DOLSBY, PAIGE LYNNE (DPT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:LYNNE
Last Name:DOLSBY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5404 W LOOMIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53129-1411
Mailing Address - Country:US
Mailing Address - Phone:509-990-8561
Mailing Address - Fax:
Practice Address - Street 1:4141 S 91ST PL
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-2257
Practice Address - Country:US
Practice Address - Phone:509-990-8561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15257-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI15257-24OtherPT LICENSE NUMBER