Wendy D Bircher, PT, EDD
Individual provider Active NPI Physical Therapist · Farmington, NM
NPI 1104033539 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104033539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 348 (NM)
- Practice address
- 608 Reilly Ave
Farmington, NM 87401-2634 - Phone
- (505) 327-7720
- NPI assigned
- May 16, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348 | NM | MD | Foot & Ankle Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 348 | NM | Yes |
Addresses
Primary practice location
608 Reilly Ave
Farmington, NM 87401-2634
Mailing address
4002 Skyline Dr
Farmington, NM 87401-9220
Phone (505) 566-3407
Other providers in Farmington, NM
- Teresa L Bigelow
- James Andrew Bigham
- Shawna Bill
- John T Bintz
- Bio-Medical Applications of New Mexico, Inc.
- Patricia Faye Bird
- Amylia Ashley Black
- Cameron C. Black
- Samuel Blackie
- Taylor Blades
All providers in Farmington, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.