Provider Demographics
NPI:1477606275
Name:WENDT, RENE ESTELL (PTA)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:ESTELL
Last Name:WENDT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1208 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6823
Mailing Address - Country:US
Mailing Address - Phone:360-647-0444
Mailing Address - Fax:360-650-1497
Practice Address - Street 1:306 36TH ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6580
Practice Address - Country:US
Practice Address - Phone:360-647-0444
Practice Address - Fax:360-650-1497
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant