Provider Demographics
NPI:1538551668
Name:LUFT, WENDY JO (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JO
Last Name:LUFT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:JO
Other - Last Name:KRANZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4500 PRINCE OF PEACE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103
Mailing Address - Country:US
Mailing Address - Phone:605-322-5665
Mailing Address - Fax:
Practice Address - Street 1:4500 PRINCE OF PEACE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103
Practice Address - Country:US
Practice Address - Phone:605-322-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0583225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist