Wendy Kirsten Teetor, PT
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1629044656
StatusActive
Last updated in NPPESJan 31, 2014
Details
- NPI
- 1629044656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Wendy Kirsten Teetor
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Jan 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2383 | NE | Yes |
Practice location
16120 W Dodge RdOmaha, NE 68118-2049
Phone 402-354-0410 · Fax 402-354-0415
Mailing address
Po Box 3755Omaha, NE 68103-0755
Phone 402-354-2100 · Fax 402-354-2155
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