Individual
JACOB J BRENNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
167 N MAIN ST, AMHERST, WI 54406-9028
(715) 529-3424
(715) 251-6236
Mailing address
PO BOX 324, AMHERST, WI 54406-0324
(715) 529-3424
(715) 251-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Enumeration date
09/14/2020
Last updated
06/27/2022
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