Wenninger, Tarey Ann
Wenninger, Tarey Ann is an sole proprietor health care provider with primary practice located at 6123 Green Bay Rd Suite 140, Kenosha WI 53142-2927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wenninger, Tarey Ann can be contacted via phone (262) 653-9208.Contact Information
Primary practice address
6123 Green Bay Rd Suite 140
Kenosha WI 53142-2927
Phone: (262) 653-9208
Fax: (262) 653-9264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6483-024 | Wisconsin |
Profile Details
| NPI number | 1053468397 |
|---|---|
| LBN Legal business name | Wenninger, Tarey Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053468397 | NPPES |
| Wisconsin | Other | 1801882451 | NPI-INDVL |
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