Wagster, Wendy
Wagster, Wendy is an individual health care provider with primary practice located at 164 Mount Pelia Rd Ste 102, Martin TN 38237-3812. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagster, Wendy can be contacted via phone (731) 587-6460.Contact Information
Primary practice address
164 Mount Pelia Rd Ste 102
Martin TN 38237-3812
Phone: (731) 587-6460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1558471466 |
|---|---|
| LBN Legal business name | Wagster, Wendy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558471466 | NPPES |
| Tennessee | Other | 6087 | LICENSE# |
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