Doctor Name: | JILL WENANDE |
NPI Number: | 1336490218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1606 |
Business Practice Address: | 1210 W 18th St Suite Ll01 Sioux Falls, SD - 571044647 |
Business Phone Number: | 6053281860 |
Business Fax Number: | 6053281640 |
Mailing Address: | 7709 W 53rd St, SIOUX FALLS |
State: | SD |
Postal Code: | 571067546 |
Phone Number: | 6053281630 |
Fax Number: | 6053281640 |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |