Most Relevant Information
Provider Data
| NPI Number: | 1003421355 |
| Provider Name: | JACOB J BRENNER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 06/27/2022 |
Provider Practice Location
167 N MAIN ST
AMHERST
WI
544069028
Practice Location Phone/Fax
| Phone: | 7155293424 |
| Fax: | 7152516236 |
Provider Mailing Location
PO BOX 324
AMHERST
WI
544060324
Provider Mailing Phone/Fax
| Phone: | 7155293424 |
| Fax: | 7152516236 |