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

Individual provider Physical Therapy Assistant · NPI 1043569833

Mrs. Nichole Shannon Bliesner, PTA is a Physical Therapy Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2448 S 102nd St Ste 340
Milwaukee, WI 53227-2466
Phone: (414) 329-2428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1561-19 (WI)

Record details

NPI number1043569833
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 7, 2012
Last updated in NPPESSeptember 7, 2012

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