Angela Weddle, PT, DPT
Individual provider Active NPI Geriatric Physical Therapist · Brodhead, KY
NPI 1235697152 · NPPES record last updated Mar 10, 2019
Key facts
- NPI
- 1235697152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- Practice address
- 371 W Main St
Brodhead, KY 40409-8893 - Phone
- (606) 758-8711
- NPI assigned
- Mar 10, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Yes |
Addresses
Primary practice location
371 W Main St
Brodhead, KY 40409-8893
Mailing address
502 W Columbia St
Somerset, KY 42501-1707
Phone (606) 305-1528
Other practice location 1
106 Gover St
Somerset, KY 42501-3332
Phone (606) 679-8331
Other providers in Brodhead, KY
- Rockcastle Health and Rehabilitation Center, Inc.
- Carissa Stallsworth
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
All providers in Brodhead, KY · Geriatric Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2019. 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.