Provider Demographics
NPI:1538616131
Name:WENDT, HANNAH M (DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
Last Name:WENDT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:FRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W227N2650 MEADOWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-8845
Mailing Address - Country:US
Mailing Address - Phone:262-424-8798
Mailing Address - Fax:
Practice Address - Street 1:W227N2650 MEADOWOOD LN
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-8845
Practice Address - Country:US
Practice Address - Phone:262-424-8798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13547-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist