Wendy Calloway
Individual provider Active NPI Physical Therapy Assistant · Granite Falls, NC
NPI 1043554892 · NPPES record last updated Nov 18, 2012
Key facts
- NPI
- 1043554892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3458 (NC)
- Practice address
- 5488 Peaceful LN
Granite Falls, NC 28630-8393 - Phone
- (828) 228-8517
- NPI assigned
- Nov 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3458 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3458 | NC | Yes |
Addresses
Primary practice location
5488 Peaceful LN
Granite Falls, NC 28630-8393
Mailing address
5488 Peaceful LN
Granite Falls, NC 28630-8393
Other providers in Granite Falls, NC
- Caldwell Memorial Hospital Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc.
- Elizabeth Caldwell
- Camelot Manor Inc
- Camelot Manor Nursing Care Facility Inc
- Camelot Manor Nursing Care Facility, Inc
- Anne Luckadoo Cannon
- Catawba Valley Resource LLC
All providers in Granite Falls, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.