Wendy Marie Eaton, MSPT
Individual provider Active NPI Physical Therapist · Lander, WY
NPI 1457559940 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1457559940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-1269 (WY)
- Practice address
- 745 Buena Vista Dr
Lander, WY 82520-3431 - Phone
- (219) 851-5270
- Fax
- (219) 851-5270
- NPI assigned
- Jul 5, 2007
- 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
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1269 | WY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1269 | WY | Yes |
Addresses
Primary practice location
745 Buena Vista Dr
Lander, WY 82520-3431
Mailing address
260 Baldwin Dr
Lander, WY 82520-3084
Phone (219) 851-5270
Other names
- Miss Wendy Marie Gutt
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. 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.