Provider Demographics
NPI:1225654155
Name:FRAME, LEVI
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:FRAME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E8323 COUNTY RD E # SOUTH
Mailing Address - Street 2:
Mailing Address - City:ELK MOUND
Mailing Address - State:WI
Mailing Address - Zip Code:54739-9284
Mailing Address - Country:US
Mailing Address - Phone:763-898-8453
Mailing Address - Fax:
Practice Address - Street 1:E8323 COUNTY RD E
Practice Address - Street 2:
Practice Address - City:ELK MOUND
Practice Address - State:WI
Practice Address - Zip Code:54739-9284
Practice Address - Country:US
Practice Address - Phone:763-898-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15319225100000X
MN11815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist