Wendy Jean Booker, PT
Individual provider Active NPI Physical Therapist · Clearwater, KS
NPI 1295955094 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1295955094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-02803 (KS)
- Practice address
- 108 E Ross St
Clearwater, KS 67026-7821 - Phone
- (620) 584-3777
- Fax
- (620) 584-6777
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 11-02803 | KS | MD | Physical Therapist |
| 3593 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Rehabilitation Hospital, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-02803 | KS | Yes |
Addresses
Primary practice location
108 E Ross St
Clearwater, KS 67026-7821
Mailing address
485 N KS Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200
Other providers in Clearwater, KS
- Casey Peter Adams
- Bales Pharmacy, Inc.
- Roger A. Bales
- Sarah Brown
- City of Clearwater
- Clearwater Al Opco, LLC
- Clearwater Family Practice PA
- Clearwater Living, LLC
All providers in Clearwater, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. 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.