Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Randi Rose Fennig

Individual provider Physical Therapy Assistant · NPI 1831865302

Miss. Randi Rose Fennig is a Physical Therapy Assistant in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

6263 N Green Bay Ave
Glendale, WI 53209-3823
Phone: (414) 351-0543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 314319 (WI)

Record details

NPI number1831865302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Other providers in Glendale