Provider Demographics
NPI:1285117127
Name:WENRICH, BRITTNEY JOY (ATC,LAT,MS,CES)
Entity type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:JOY
Last Name:WENRICH
Suffix:
Gender:F
Credentials:ATC,LAT,MS,CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 STATION DR
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5113
Mailing Address - Country:US
Mailing Address - Phone:706-202-0477
Mailing Address - Fax:
Practice Address - Street 1:2721 HOG MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4818
Practice Address - Country:US
Practice Address - Phone:706-769-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAUIK143A73446OtherBLUECROSS BLUESHIELD