Kristie-Lee Wendler, COTA/L
Skilled Nursing Facility in Medford, Massachusetts
1013388719- Practice location
- 200 Governors Ave, Medford, MA 02155-1644
- Phone
- 781-391-5400
- Fax
- —
- Last updated
- October 7, 2015
Kristie-Lee Wendler is a Skilled Nursing Facility based in Medford, MA. Kristie-Lee Wendler practices in Medford, MA and has the professional credentials of COTA/L. The NPI Number for Kristie-Lee Wendler is 1013388719 and holds a License No. 3957 (MA). The current practice location address for Kristie-Lee Wendler is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.
Provider Profile Details
- NPI Number
- 1013388719
- Provider Name
- Kristie-Lee Wendler
- Credential
- COTA/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Governors Ave, Medford, MA 02155-1644
- Phone Number
- 781-391-5400
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 7, 2015
- Last Update Date
- October 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Governors Ave
Medford, MA 02155-1644 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1644
- Phone Number
- 781-391-5400
Provider Business Mailing Address Details
- Address
- 13 Lakeview Ave
Apartment 2
Reading, MA 01867-3281 - City
- Reading
- State
- MA
- Zip
- 01867-3281
- Phone Number
- 617-318-7637
License Information
- License Number
- 3957
- License State
- MA
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kristie-Lee Wendler, COTA/L?
The NPI number of Kristie-Lee Wendler, COTA/L is 1013388719. It was assigned on October 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Kristie-Lee Wendler, COTA/L?
Kristie-Lee Wendler, COTA/L is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in MA under license number 3957.
Where does Kristie-Lee Wendler, COTA/L practice?
The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013388719 directly on the NPPES registry website.