MEDICARE: MRS. JENNIFER RENEE WEHE P.T.

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
1	225100000X	Physical Therapist	1183161	TX

General Provider Information

NPI Number	:	1588961270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER RENEE WEHE P.T.

Provider Business Mailing Address
First Line	:	14855 BLANCO RD STE 310
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7731
Country	:	US
Telephone Number	:	210-281-4188
Fax Number	:	210-281-4195

Provider Business Practice Location Address
First Line	:	14855 BLANCO RD STE 310
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7731
Country	:	US
Telephone Number	:	210-281-4188
Fax Number	:	210-281-4195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	03/17/2018

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