Wendy Michelle Eickmann, physical therapist
Physical Therapist, Geriatrics in Longmont, CO. Individual provider (NPI-1).
NPI number1043733355
StatusActive
Last updated in NPPESJul 18, 2017
Details
- NPI
- 1043733355
- Entity type
- Individual (NPI-1)
- Name
- Wendy Michelle Eickmann
- Credential
- physical therapist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2017
- Last updated
- Jul 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251G0304X | Physical Therapist, Geriatrics | 0006631 | CO | Yes |
Practice location
2919 17th AveLongmont, CO 80503-1650
Phone 303-702-0410
Mailing address
300 42nd St SwLoveland, CO 80537-7520
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