Provider Demographics
NPI:1700833886
Name:STUDTMANN, WENDY S (PT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:STUDTMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7337 W BANCROFT
Mailing Address - Street 2:ST JAMES THERAPY
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615
Mailing Address - Country:US
Mailing Address - Phone:419-842-1922
Mailing Address - Fax:419-842-0805
Practice Address - Street 1:7337 W BANCROFT
Practice Address - Street 2:ST JAMES THERAPY
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615
Practice Address - Country:US
Practice Address - Phone:419-842-1922
Practice Address - Fax:419-842-0805
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT04392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist