Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WENDY P JACK, DSP
Active Sole ProprietorWENDY P JACK, DSP is a Foot & Ankle Surgery healthcare provider located in OLMSTED FALLS, Ohio. NPI 1275406159 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · OLMSTED FALLS, OH
Registration Details
- NPI Number
- 1275406159
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2025 (0.73789989977876 yrs)
- Last Updated
- Sep 26, 2025
- License
-
RP985477 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25020 MILL RIVER RDOLMSTED FALLS, OH, 441382000Browse OH providers · Browse ZIP 44138
- Phone
- 4407241462
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Foot & Ankle Surgery
Other Foot & Ankle Surgery Providers in OLMSTED FALLS, OH
| Name | Credential | NPI |
|---|---|---|
| STACEY MOWERY | — | 1083339857 |
| TRACI SUE RANGE | PTA | 1154036085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.