Provider Demographics
NPI:1154502524
Name:HENRICHS, WENDY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:MARIE
Last Name:HENRICHS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E COURTNEY ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3784
Mailing Address - Country:US
Mailing Address - Phone:715-362-4852
Mailing Address - Fax:
Practice Address - Street 1:1 E COURTNEY ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3784
Practice Address - Country:US
Practice Address - Phone:715-362-4852
Practice Address - Fax:715-362-4859
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor