Provider Demographics
NPI:1578838561
Name:SCHLAPMAN, TIFFANY (COTA)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:SCHLAPMAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166701 HAPPY TRAILS LN
Mailing Address - Street 2:
Mailing Address - City:RINGLE
Mailing Address - State:WI
Mailing Address - Zip Code:54471-6186
Mailing Address - Country:US
Mailing Address - Phone:715-470-3522
Mailing Address - Fax:
Practice Address - Street 1:1010 E WAUSAU AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-3101
Practice Address - Country:US
Practice Address - Phone:715-842-2028
Practice Address - Fax:715-842-9417
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4831-027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant