Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ephphatha Tiny Mouth Therapy LLC

Organization Clinic/Center · NPI 1245922095

Ephphatha Tiny Mouth Therapy LLC is a Clinic/Center in Fond Du Lac, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

490 W Rolling Meadows Dr
Fond Du Lac, WI 54937-8624
Phone: (262) 483-6597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1245922095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridget Schumaker — Owner · (262) 483-6597
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address9565 Boltonville Rd, Kewaskum, WI 53040-9730

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