Provider Demographics
NPI:1497926745
Name:WENDT, CELIA D (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:D
Last Name:WENDT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DRAPER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8707
Mailing Address - Country:US
Mailing Address - Phone:508-405-2503
Mailing Address - Fax:
Practice Address - Street 1:34 ELM ST
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1829
Practice Address - Country:US
Practice Address - Phone:781-383-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8348111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health