Provider Demographics
NPI:1518424985
Name:NAUGLE, WENDI SUE
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:SUE
Last Name:NAUGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENDI
Other - Middle Name:SUE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-6410
Mailing Address - Country:US
Mailing Address - Phone:814-205-1404
Mailing Address - Fax:814-201-2021
Practice Address - Street 1:501 VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-6410
Practice Address - Country:US
Practice Address - Phone:814-205-1404
Practice Address - Fax:814-201-2021
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008397L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist