Provider Demographics
NPI:1457404071
Name:WENDLANDT, KATHLEEN JOY (LMP-C)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JOY
Last Name:WENDLANDT
Suffix:
Gender:F
Credentials:LMP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:205 W INDIANA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4763
Mailing Address - Country:US
Mailing Address - Phone:509-998-4207
Mailing Address - Fax:509-464-0145
Practice Address - Street 1:205 W INDIANA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4763
Practice Address - Country:US
Practice Address - Phone:509-998-4207
Practice Address - Fax:509-464-0145
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00011845225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist