DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERESA ANN WENNER

Active Sole Proprietor

163WM1400X · SHEPHERDSTOWN, WV

Registration Details

NPI Number
1871278747
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2023 (2.8431379880275 yrs)
Last Updated
Jun 19, 2023
Licenses
223-4023 (WV)
0019019311 (VA)
53092 (WV)
0001149304 (VA)
53092 (WV)
Sole Proprietor
Yes

Practice Information

Address
217 S DUKE ST STE 104
SHEPHERDSTOWN, WV, 254434849
Browse WV providers · Browse ZIP 25443
Phone
3043623009
Primary Specialty
163WM1400X
163WM1400X
Additional Specialty
Massage Therapist
Additional Specialty
163WM1400X
Additional Specialty
163WM1400X
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.