Provider Demographics
NPI:1396527024
Name:ARRIOLA, FRANK (ATC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ARRIOLA
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 GOLDEN GATE DR APT 242
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-4212
Mailing Address - Country:US
Mailing Address - Phone:608-770-9708
Mailing Address - Fax:
Practice Address - Street 1:2240 GOLDEN GATE DR APT 242
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-4212
Practice Address - Country:US
Practice Address - Phone:608-770-9708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI30162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer