Provider Demographics
NPI:1972300796
Name:TRENDEL, BROOKE EVELYN
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:EVELYN
Last Name:TRENDEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3304
Mailing Address - Country:US
Mailing Address - Phone:262-347-6480
Mailing Address - Fax:
Practice Address - Street 1:700 W HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3304
Practice Address - Country:US
Practice Address - Phone:262-347-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer