Individual
MRS. JENNIFER WHITESIDE WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3122 N TEE TIME, WICHITA, KS 67205-1915
(316) 729-1933
Mailing address
3122 N TEE TIME, WICHITA, KS 67205-1915
(316) 729-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02377
KS
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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