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Individual

MRS. WENDY LYNNE TINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4800 GRANDVIEW RD, KANSAS CITY, MO 64137-1937
(816) 719-5267
Mailing address
13910 W 158TH ST, OLATHE, KS 66062-3670
(816) 719-5267

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21676
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5835
MD
Enumeration date
03/15/2007
Last updated
06/18/2009
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