Provider Demographics
NPI:1215426002
Name:WESLING, NANCY LYNN (PT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:WESLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 WEST RIVER WOODS PARKWAY
Mailing Address - Street 2:REHAB DEPARTMENT
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212
Mailing Address - Country:US
Mailing Address - Phone:414-961-6880
Mailing Address - Fax:414-961-6739
Practice Address - Street 1:475 WEST RIVER WOODS PARKWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212
Practice Address - Country:US
Practice Address - Phone:414-961-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3335-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist