Provider Demographics
NPI:1255537627
Name:WESSLING, MARIANA
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:WESSLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 ARLENE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-4029
Mailing Address - Country:US
Mailing Address - Phone:316-681-1322
Mailing Address - Fax:
Practice Address - Street 1:619 SOUTH HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:DOUGLASS
Practice Address - State:KS
Practice Address - Zip Code:67039
Practice Address - Country:US
Practice Address - Phone:615-896-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1401802225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant