Mrs. Nichole S. Bliesner PTA
Physical Therapy Assistant in Milwaukee, WI(View on Map)
Full Name
Mrs. Nichole Shannon Bliesner PTA
NPI Number
1043569833
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/07/2012
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
1561-19
Contact
Information
Purpose
Mailing
Location
Address
1434 BLAINE AVE
2448 S 102ND ST
City
Racine
Milwaukee
State
WI
WI
Postal Code
53405-3310
53227-2466
Country
US
US
Telephone Number
(262) 681-4802
(414) 329-2428
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/07/2012
Provider Address
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