Individual provider · Type 1 NPI
Pamela J. Wenndt, PT, GCS
Geriatric Physical Therapist · Maple Grove, MN
Practice location
9550 Upland Lane N., Suite 120
Maple Grove, MN 55369-4482
Fax (763) 537-6666
Mailing address
2104 Northdale Blvd NW, Suite 220
Minneapolis, MN 55433-3046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 00734 (IA) |
| Physical Therapist | 225100000X | 8612 (MN) |
| Geriatric Physical Therapist Primary | 2251G0304X | 00734 (IA) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1922088145
Pamela J. Wenndt, PT, GCS's National Provider Identifier is 1922088145, issued on Jan 23, 2006. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Maple Grove, MN. The record was last updated on May 23, 2011.