Individual
NICOLE WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OTR/L
Contact information
Practice address
153 BROOKLAWN ST STE 153, FARRAGUT, TN 37934-2875
(865) 412-2347
Mailing address
1463 MARKET ST STE 104, CHATTANOOGA, TN 37402-4465
(423) 842-9322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.022119
IL
225100000X
Physical Therapist
Primary
—
TN
225X00000X
Occupational Therapist
056.011384
IL
225X00000X
Occupational Therapist
—
TN
Other
Enumeration date
02/23/2016
Last updated
03/20/2023
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