Individual
JACOB ALAN WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4040 RADIO DR, WOODBURY, MN 55129-3237
(651) 439-8807
(651) 439-0232
Mailing address
4040 RADIO DR, WOODBURY, MN 55129-3237
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
103389
WI
225100000X
Physical Therapist
Primary
10843
MN
Other
Enumeration date
11/17/2016
Last updated
07/21/2022
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