MEDICARE: WENDY VOLKERT MSPT

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	03270	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265549299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY VOLKERT MSPT

Provider Business Mailing Address
First Line	:	7147 VISTA DR STE 150
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-9313
Country	:	US
Telephone Number	:	515-875-9925
Fax Number	:	515-875-9923

Provider Business Practice Location Address
First Line	:	842 NE ALICES RD
Second Line	:
City	:	WAUKEE
State	:	IA
Zip	:	50263-8857
Country	:	US
Telephone Number	:	515-875-9706
Fax Number	:

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/17/2021

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