Provider Demographics
NPI:1497521785
Name:GATRELL, WENDI DAWN
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:DAWN
Last Name:GATRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 E MIER RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-8338
Mailing Address - Country:US
Mailing Address - Phone:989-615-6543
Mailing Address - Fax:
Practice Address - Street 1:2100 E MIER RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-8338
Practice Address - Country:US
Practice Address - Phone:989-615-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist