Wanda M. Garris, P.T.
Individual provider Active NPI Physical Therapist · Williamsburg, KY
NPI 1750434650 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750434650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004473 (KY)
- Practice address
- 118 S 3Rd St
Williamsburg, KY 40769-1214 - Phone
- (606) 549-1183
- Fax
- (606) 549-8107
- NPI assigned
- Jan 22, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004473 | KY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004473 | KY | Yes |
Addresses
Primary practice location
118 S 3Rd St
Williamsburg, KY 40769-1214
Mailing address
PO Box 239
Williamsburg, KY 40769-0239
Phone (606) 549-1183
Other providers in Williamsburg, KY
- Kayla Fields
- Shala Foley
- Cynthia Eileen Fults
- Warren Brooks Gardner
- Philip Spencer Garner
- Kelsey Nicole Gay
- Andrew Steven George
- Erika Gilkerson
- Grace Community Health Center, Inc.
- Kristi Dawn Gray
All providers in Williamsburg, KY · 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 Jul 8, 2007. 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.