Provider Demographics
NPI:1952503245
Name:SCHLEY, ERIN ANN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ANN
Last Name:SCHLEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:ANN
Other - Last Name:MIELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:70 W GREEN TREE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTONVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54929-1009
Mailing Address - Country:US
Mailing Address - Phone:715-823-2194
Mailing Address - Fax:715-823-1303
Practice Address - Street 1:70 W GREEN TREE RD
Practice Address - Street 2:
Practice Address - City:CLINTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54929-1009
Practice Address - Country:US
Practice Address - Phone:715-823-2194
Practice Address - Fax:715-823-1303
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163-019174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist