Provider Demographics
NPI:1376364299
Name:ARTERO FREDERICK, RONNIE JEAN (LMT)
Entity type:Individual
Prefix:MS
First Name:RONNIE JEAN
Middle Name:
Last Name:ARTERO FREDERICK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 N ASTOR ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-2887
Mailing Address - Country:US
Mailing Address - Phone:414-324-6258
Mailing Address - Fax:
Practice Address - Street 1:1301 N ASTOR ST STE 5
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2887
Practice Address - Country:US
Practice Address - Phone:414-324-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist