Provider Demographics
NPI:1760135461
Name:FRONSEE, BRENDA KAY (PT)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:KAY
Last Name:FRONSEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:KAY
Other - Last Name:VEITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:431 WATER ST STE 107
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU SAC
Mailing Address - State:WI
Mailing Address - Zip Code:53578-2105
Mailing Address - Country:US
Mailing Address - Phone:866-842-3249
Mailing Address - Fax:833-315-1351
Practice Address - Street 1:431 WATER ST STE 107
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU SAC
Practice Address - State:WI
Practice Address - Zip Code:53578-2105
Practice Address - Country:US
Practice Address - Phone:866-842-3249
Practice Address - Fax:833-315-1351
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3856-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist