Individual ProviderTerra Lee ArendtPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1620 S Ashland Ave, Green Bay, WI 54304-3689(920) 787-5777PECOS EnrollmentBased on the most recent information from CMS, provider Terra Lee Arendt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821835034Provider TypeIndividualFull NameArendt, Terra LeeTitleMs.CredentialPTAGenderFemaleSole ProprietorNoEnumeration Date7/15/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address1620 S Ashland Ave, Green Bay, WI 54304-3689Phone(920) 787-5777FaxUnlisted FaxMailing LocationMailing Address1620 S Ashland Ave, Green Bay, WI 54304-3689PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense336-19Wisconsin