Benjamin John Brenna in Turtle Lake - Physical Therapist
Benjamin John Brenna - NPI 1063471498
Benjamin John Brenna is a Physical Therapist in Turtle Lake, Wisconsin. Benjamin John Brenna practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Benjamin John Brenna is 1063471498. The last update date is 2012-07-09.
Benjamin John Brenna's current location address is 205 Oak St, Turtle Lake, Wisconsin. You can contact this provider via phone number 7159862022 and fax number 7159862236. The mailing address for Benjamin John Brenna is 205 Oak St, Turtle Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin John Brenna |
|---|---|
| Address | 205 Oak St, Turtle Lake, Wisconsin |
| Phone Number | 7159862022 |
| Fax Number | 7159862236 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1063471498 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2012-07-09 |
Provider Mailing Address Detail
| Address | 205 Oak St |
|---|---|
| City | Turtle Lake |
| State | Wisconsin (WI) |
| Post Code | 548898929 |
| Phone Number | 7159862022 |
| Fax Number | 7159862236 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5791-024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84587-0007 | WI | -- | |
| 40314000 | WI | MEDICAL ASSISTANCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Benjamin John Brenna by the Centers for Medicare & Medicaid Services?
The Benjamin John Brenna has been issued the NPI (National Provider Identifier) 1063471498 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Benjamin John Brenna is physically located?
The Benjamin John Brenna is physically situated at the following address: 205 Oak St, Turtle Lake, WI, 548898929.
What is the Benjamin John Brenna's specialty and taxonomy code?
The Benjamin John Brenna's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Benjamin John Brenna receive its 1063471498 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin John Brenna was assigned its 1063471498 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the information pertaining to Benjamin John Brenna most recently updated or revised?
The details related to Benjamin John Brenna, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-09.