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

Individual provider Physical Therapy Assistant · NPI 1629100607

MS. Tamie Lee Fullerton, PTA is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4560 SE International Way Ste 100 Consonus Healthcare Services
Milwaukee, WI 97222
Phone: (971) 206-5129
Fax: (971) 206-5209
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6084 (CA)

Record details

NPI number1629100607
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukee, WI 97222

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