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NPI Code Detail

MEDICARE: WENDY FAITH BRAATEN PT

MEDICARE:   WENDY FAITH BRAATEN  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5047AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15047OTHERAZSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275691776
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY FAITH BRAATEN PT
Provider Business Mailing Address
First Line : 2850 N 24TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1004
Country : US
Telephone Number : 602-633-8686
Fax Number : 602-633-8786
Provider Business Practice Location Address
First Line : 2850 N 24TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1004
Country : US
Telephone Number : 602-633-8686
Fax Number : 602-633-8786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 03/25/2025

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Directions to “ WENDY FAITH BRAATEN PT” Practice Location

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