Provider Demographics
NPI:1669740106
Name:JOHNSON, WENDY WOODS (DPT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:WOODS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:ANN
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1310 ALFORD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3100
Mailing Address - Country:US
Mailing Address - Phone:205-824-8850
Mailing Address - Fax:205-824-8853
Practice Address - Street 1:1310 ALFORD AVE STE 102
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-3100
Practice Address - Country:US
Practice Address - Phone:205-824-8850
Practice Address - Fax:205-824-8853
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH55832251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic