Wendy Michelle Paul, PT
Individual provider Active NPI Physical Therapist · Galesburg, IL
NPI 1134466865 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1134466865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-012405 (IL)
- Practice address
- 3333 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-9600
- Fax
- (309) 344-9675
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 070-012405 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-012405 | IL | Yes |
Addresses
Primary practice location
3333 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-9600
Other providers in Galesburg, IL
- Karen Lynn Pasko
- Kishorbhai K Patel
- Path Lab Diagnostic Services, LLC
- Thomas H Patterson
- Jessica Renee Paul
- Keith Peachey
- Peck Shulk Chiropractic, PLLC
- Teresa G Peck
- Trent M Pedigo
- Frank Peppers
All providers in Galesburg, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. 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.