Provider Demographics
NPI:1720836406
Name:WEHMANN, ESTHER (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:WEHMANN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:BEHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:54 ECHO VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-5739
Mailing Address - Country:US
Mailing Address - Phone:304-579-0948
Mailing Address - Fax:
Practice Address - Street 1:54 ECHO VALLEY LN
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425-5739
Practice Address - Country:US
Practice Address - Phone:304-579-0948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECP031296A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty