Provider Demographics
NPI:1801922554
Name:MILES WEHRLI, TERI ANN (PT ATC)
Entity type:Individual
Prefix:MRS
First Name:TERI
Middle Name:ANN
Last Name:MILES WEHRLI
Suffix:
Gender:F
Credentials:PT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 SOUTH 1000 WEST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2939
Mailing Address - Country:US
Mailing Address - Phone:435-896-5090
Mailing Address - Fax:435-896-5090
Practice Address - Street 1:763 SOUTH 1000 WEST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2939
Practice Address - Country:US
Practice Address - Phone:435-896-5090
Practice Address - Fax:435-896-5090
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3304872401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist