Bennett, Breanna
Bennett, Breanna is an individual health care provider with primary practice located at 1731 17Th Ave , Bloomer WI 54724-1512. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bennett, Breanna can be contacted via phone (715) 568-4669.Contact Information
Primary practice address
1731 17Th Ave
Bloomer WI 54724-1512
Phone: (715) 568-4669
Fax: (715) 568-4673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2637-19 | Wisconsin |
Profile Details
| NPI number | 1245759489 |
|---|---|
| LBN Legal business name | Bennett, Breanna |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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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