MEDICARE: MS. WENDY MARIE FLERX MS, PT

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	4062	SC

General Provider Information

NPI Number	:	1285642074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WENDY MARIE FLERX MS, PT

Provider Business Mailing Address
First Line	:	721 BEN KYZER DR
Second Line	:
City	:	GILBERT
State	:	SC
Zip	:	29054-9105
Country	:	US
Telephone Number	:	803-414-8829
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 AUGUSTA HWY
Second Line	:	SUITE L
City	:	LEXINGTON
State	:	SC
Zip	:	29072-1915
Country	:	US
Telephone Number	:	803-414-8829
Fax Number	:

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	09/18/2008

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