Provider Demographics
NPI:1548568173
Name:TREEHOUSE THERAPY, LLC
Entity Type:Organization
Organization Name:TREEHOUSE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPPACH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:715-682-0633
Mailing Address - Street 1:422 3RD ST W
Mailing Address - Street 2:SUITE 135
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-1553
Mailing Address - Country:US
Mailing Address - Phone:715-682-0633
Mailing Address - Fax:715-682-0736
Practice Address - Street 1:422 3RD ST W
Practice Address - Street 2:SUITE 135
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1553
Practice Address - Country:US
Practice Address - Phone:715-682-0633
Practice Address - Fax:715-682-0736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4758-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100006144Medicaid