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

Individual provider Physical Therapy Assistant · NPI 1811301591

Tracy Bantleon is a Physical Therapy Assistant in Sheboygan, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
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Practice location Address checks out

3129 Michigan Ave
Sheboygan, WI 53081-3062
Phone: (920) 458-1155
Fax: (920) 458-1173
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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 1999-19 (WI)

Record details

NPI number1811301591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing address3129 Michigan Ave, Sheboygan, WI 53081-3062

Other providers in Sheboygan