Provider Demographics
NPI:1760487813
Name:HINDMAN, WENDY S (PT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:HINDMAN
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 1:216 SHIELDS RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-1818
Mailing Address - Country:US
Mailing Address - Phone:724-421-9006
Mailing Address - Fax:
Practice Address - Street 1:216 SHIELDS RD
Practice Address - Street 2:
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-1818
Practice Address - Country:US
Practice Address - Phone:724-421-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012136L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP10146Medicare UPIN
PA039670Medicare ID - Type Unspecified