Provider Demographics
NPI:1083820369
Name:ZAHN, WENDY (PT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:ZAHN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:JO
Other - Last Name:DOHNKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:68 POLARIS RD
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-8002
Mailing Address - Country:US
Mailing Address - Phone:256-582-8566
Mailing Address - Fax:
Practice Address - Street 1:10160 HIGHWAY 431 S
Practice Address - Street 2:SUITE 10
Practice Address - City:NEW HOPE
Practice Address - State:AL
Practice Address - Zip Code:35760-8878
Practice Address - Country:US
Practice Address - Phone:256-723-2994
Practice Address - Fax:256-723-2996
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist