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NPI Code Detail

MEDICARE: MRS. WENDY LYNNE TINGLE P.T.

MEDICARE: MRS. WENDY LYNNE TINGLE P.T.
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
1225100000XPhysical Therapist21676MD

Other Identifiers

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

General Provider Information

NPI Number : 1366576217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY LYNNE TINGLE P.T.
Provider Business Mailing Address
First Line : 13910 W 158TH ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-3670
Country : US
Telephone Number : 816-719-5267
Fax Number :
Provider Business Practice Location Address
First Line : 4800 GRANDVIEW RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-1937
Country : US
Telephone Number : 816-719-5267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 06/18/2009

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