Individual provider · Type 1 NPI

Colleen Wendtland, CPED, CFOM

Pedorthist · Banning, CA

NPI number 1801244389 Active

Practice location

1468 Pepper Ln
Banning, CA 92220-1469

Specialties and licenses

TaxonomyCodeLicense
Mastectomy Fitter 224900000XNone listed
Pedorthist Primary 224L00000XNone listed
Orthotic Fitter 225000000XNone listed

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

About NPI 1801244389

Colleen Wendtland, CPED, CFOM's National Provider Identifier is 1801244389, issued on May 25, 2016. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Banning, CA. The record was last updated on May 25, 2016.