Provider Demographics
NPI:1134742927
Name:WENCEL, ADRIANE K (PT)
Entity type:Individual
Prefix:MRS
First Name:ADRIANE
Middle Name:K
Last Name:WENCEL
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 1:121 W DUNBAR CAVE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6037
Mailing Address - Country:US
Mailing Address - Phone:931-542-9420
Mailing Address - Fax:931-542-9422
Practice Address - Street 1:121 W DUNBAR CAVE RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6037
Practice Address - Country:US
Practice Address - Phone:931-542-9420
Practice Address - Fax:931-542-9422
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT3027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist