Individual
WENDY D EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFTS
Contact information
Practice address
2150 N OCOEE ST, CLEVELAND, TN 37311-3936
(423) 559-0013
(423) 559-2442
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFTS1106
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973794C
—
GA
05
—
000973794D
—
GA
05
—
000973794E
—
GA
05
—
1455062
—
TN
05
—
1507472
—
TN
Enumeration date
11/29/2010
Last updated
11/29/2010
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