Provider Demographics
NPI:1487928156
Name:SPRENKLE, BRENDA (PT)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:SPRENKLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:STEGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:BRENDA SPRENKLE
Mailing Address - Street 2:C/O PIKES PEAK BOCES 2883 S CIRCLE DRIVE
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4112
Mailing Address - Country:US
Mailing Address - Phone:719-433-0129
Mailing Address - Fax:
Practice Address - Street 1:PKES PEAK BOCES
Practice Address - Street 2:2883 S. CIRCLE DRIVE
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4112
Practice Address - Country:US
Practice Address - Phone:719-622-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2023-10-17
Deactivation Date:2016-02-04
Deactivation Code:
Reactivation Date:2023-08-28
Provider Licenses
StateLicense IDTaxonomies
CO6009225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist