Provider Demographics
NPI:1417004938
Name:FRENS, MARGARET K (MS, ATC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:FRENS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4543
Mailing Address - Country:US
Mailing Address - Phone:616-836-5243
Mailing Address - Fax:888-608-4834
Practice Address - Street 1:494 W 17TH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3437
Practice Address - Country:US
Practice Address - Phone:616-836-5243
Practice Address - Fax:888-608-4834
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010000482081S0010X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty