| Benjamin John Brenna, PT | |
|
205 Oak St, Turtle Lake, WI 54889-8929 | |
| (715) 986-2022 | |
| (715) 986-2236 |
| Full Name | Benjamin John Brenna |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 205 Oak St, Turtle Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063471498 | NPI | - | NPPES |
| 84587-0007 | Medicaid | WI | |
| 40314000 | Other | WI | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5791-024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Brenna, PT 1110 7th Ave, Cumberland, WI 54829-9138 Ph: (715) 822-6167 | Benjamin John Brenna, PT 205 Oak St, Turtle Lake, WI 54889-8929 Ph: (715) 986-2022 |
Tessa Traynor, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Becker St, Turtle Lake, WI 54889 Phone: 715-986-4103 Fax: 715-986-4128 | |
Marissa Frances Gavioli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Ostermann Dr, Turtle Lake, WI 54889 Phone: 715-986-2020 |