Healthcare Provider Details

I. General information

NPI: 1982654000
Provider Name (Legal Business Name): WENDI L HINES MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDI L WARD

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7932 N OAK TRFY SUITE 212
KANSAS CITY MO
64118-1423
US

IV. Provider business mailing address

17134 BEL RAY PL
BELTON MO
64012-5331
US

V. Phone/Fax

Practice location:
  • Phone: 816-420-0286
  • Fax: 816-420-8207
Mailing address:
  • Phone: 816-226-4011
  • Fax: 816-524-6115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1999139193
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: