Doctor Name: | SUSAN WEHRLY |
NPI Number: | 1477970838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMT |
License Number: | MT.0011993 |
Business Practice Address: | 12021 Pennsylvania St #203 Thornton, CO - 802413150 |
Business Phone Number: | 7209849822 |
Business Fax Number: | 3034501574 |
Mailing Address: | 12021 Pennsylvania St, #203 THORNTON |
State: | CO |
Postal Code: | 802413150 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT.0011993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |