Healthcare Provider Details

I. General information

NPI: 1497094312
Provider Name (Legal Business Name): WENDY WOODS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 W US HIGHWAY 64 STE 3
MURPHY NC
28906-8171
US

IV. Provider business mailing address

1787 W US HIGHWAY 64 STE 3
MURPHY NC
28906-8171
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7898
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: