Provider Demographics
NPI:1841954468
Name:WENDT, MEGAN (DC)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:WENDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S WILCOX ST STE D
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1940
Mailing Address - Country:US
Mailing Address - Phone:303-688-2300
Mailing Address - Fax:
Practice Address - Street 1:140 S WILCOX ST STE D
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1940
Practice Address - Country:US
Practice Address - Phone:303-688-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2787285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor