Provider Demographics
NPI:1437880291
Name:BOHLMAN, TAYLOR RENEE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:RENEE
Last Name:BOHLMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 N LAKE DR FL 2
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4508
Mailing Address - Country:US
Mailing Address - Phone:414-585-1066
Mailing Address - Fax:414-585-1077
Practice Address - Street 1:2301 N LAKE DR FL 2
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4508
Practice Address - Country:US
Practice Address - Phone:414-585-1066
Practice Address - Fax:414-585-1077
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-8143225100000X
GAPT015991225100000X
IL70027316225100000X
IN05014935A225100000X
NCP21749225100000X
WI16182-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist