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Individual

MS. WENDY WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC, LMT

Contact information

Practice address
1295 SW MULVANE ST, APT 1, TOPEKA, KS 66604-1412
(785) 383-8837
Mailing address
1295 SW MULVANE ST, APT 1, TOPEKA, KS 66604-1412

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
24-00788
KS
2255A2300X
Athletic Trainer
Primary
24-00788
KS
225700000X
Massage Therapist
36927
TX

Other

Enumeration date
12/01/2011
Last updated
12/01/2011
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