Brenna, Amy

Brenna, Amy is an individual health care provider with primary practice located at 1110 7Th Ave , Cumberland WI 54829-9138. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brenna, Amy can be contacted via phone (715) 822-6167.

Contact Information

Primary practice address
1110 7Th Ave Cumberland WI 54829-9138
Fax:
Website:

Health care specialties

Profile Details

NPI number 1891880183
LBN Legal business name Brenna, Amy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891880183 NPPES
Wisconsin MEDICAID 40312700

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