Provider Demographics
NPI:1821375791
Name:MEYER, WENDY MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:MEYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:MARIE
Other - Last Name:MCDAVID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2001 S. SHIELDS
Mailing Address - Street 2:BLDG H, STE 102
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526
Mailing Address - Country:US
Mailing Address - Phone:970-493-8727
Mailing Address - Fax:
Practice Address - Street 1:3519 RICHMOND DRIVE #C
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5994
Practice Address - Country:US
Practice Address - Phone:970-493-8727
Practice Address - Fax:970-493-8739
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist