Provider Demographics
NPI:1548204563
Name:WENRICH, REBECCA (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:WENRICH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:MACHAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:8152 ROUTE 25
Mailing Address - Street 2:
Mailing Address - City:SPRING GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:17978-9524
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 EVELYN DR
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17061-1258
Practice Address - Country:US
Practice Address - Phone:717-692-4708
Practice Address - Fax:717-692-5464
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015023225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist