| NPI | 1053849026 |
|---|---|
| Former Name | KRISTEN SUE WENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10889) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SD 1994) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-06-14 |