Provider Demographics
NPI:1285075044
Name:WENTE, KARLA RUTH (PT)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:RUTH
Last Name:WENTE
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Gender:F
Credentials:PT
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Mailing Address - Street 1:709 N 5TH AVE
Mailing Address - Street 2:C B 8052
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-1033
Mailing Address - Country:US
Mailing Address - Phone:708-983-5149
Mailing Address - Fax:708-983-5149
Practice Address - Street 1:4444 FOREST PARK AVE
Practice Address - Street 2:STE 1210
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2212
Practice Address - Country:US
Practice Address - Phone:314-286-1940
Practice Address - Fax:314-286-1473
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2016-10-07
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Provider Licenses
StateLicense IDTaxonomies
MO2013029949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist