MEDICARE: MS. WENDY L. BEFFERT LMT

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	225700000X	Massage Therapist	MA100278	FL

General Provider Information

NPI Number	:	1073478103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WENDY L. BEFFERT LMT

Provider Business Mailing Address
First Line	:	9813 MAR LARGO CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7340
Country	:	US
Telephone Number	:	908-578-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	9813 MAR LARGO CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7340
Country	:	US
Telephone Number	:	908-578-9811
Fax Number	:

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

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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