Wendy Luella Cheesman, PT, ATC, LAT
Individual provider Active NPI Athletic Trainer · Lewisberry, PA
NPI 1326215880 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1326215880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT001608 (PA)
- Practice address
- 453 Old Stage Rd
Lewisberry, PA 17339-9319 - Phone
- (717) 766-2511
- NPI assigned
- May 14, 2008
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009695 | PA | MD | Physical Therapist |
| RT001608 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009695 | PA | |
| Athletic Trainer | 2255A2300X | RT001608 | PA | Yes |
Addresses
Primary practice location
453 Old Stage Rd
Lewisberry, PA 17339-9319
Mailing address
453 Old Stage Rd
Lewisberry, PA 17339-9319
Phone (717) 766-2511
Other providers in Lewisberry, PA
- Howard Joel Bronfman
- Eric Burd
- Butler Dynamics LLC
- Daniel Case
- Loris Cedeno
- Chad Coeyman
- Columbia Ancillary Services Inc
- Community Care of Harrisburg, LLC
- Amanda Louise Cox
- Lawrence George Cox
All providers in Lewisberry, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. 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.