Most Relevant Information
Provider Data
| NPI Number: | 1003277518 |
| Provider Name: | REBECCA WENSEL P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT-985 |
Most Important Dates
| Enumeration Date: | 03/10/2016 |
| Last Updated: | 03/10/2016 |
Provider Practice Location
190 E BANNOCK ST
BOISE
ID
837126241
Practice Location Phone/Fax
| Phone: | 2083812138 |
| Fax: |
Provider Mailing Location
1703 N 16TH ST
BOISE
ID
837021132
Provider Mailing Phone/Fax
| Phone: | 2083812138 |
| Fax: |