MARY L WEDDLE (NPI# 1801433115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801433115 |
| Entity Type | Individual |
| Full Name | MARY L WEDDLE |
| Practice Address |
4300 W River Pkwy Apt 251 Minneapolis MN 55406-3678 |
| Practice Telephone | 6124559395 |
| Mailing Telephone | 6124559395 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4300 W RIVER PKWY APT 251 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984674 | Kylie Macziewski | Specialist/Technologist | 104 W 95th St, Minneapolis, MN 55420-4307 | 2020-05-22 |
| 1295356293 | Matthew Larsen | Specialist/Technologist | 501 E 14th St Apt 34, Minneapolis, MN 55404-1409 | 2020-04-30 |
| 1760041065 | Kristin Wood | Specialist/Technologist | 1900 University Ave Se, Minneapolis, MN 55455-0376 | 2019-06-10 |
| 1831665868 | Brandi Bluearm | Specialist/Technologist | 1410 Elliot Ave, Minneapolis, MN 55404-1300 | 2018-10-17 |
| 1982195558 | Joshua Wintz | Specialist/Technologist | 4112 Morrill Ln, Minneapolis, MN 55406-3656 | 2018-05-19 |
| 1225548126 | Abbegayle Kisrow | Specialist/Technologist | 2840 123rd Ave Nw, Minneapolis, MN 55433-1727 | 2017-10-05 |
| 1295250744 | Emily Jacob | Specialist/Technologist | 5829 Oakland Ave, Minneapolis, MN 55417-3113 | 2017-08-06 |
| 1639524853 | Annie Thoresen | Specialist/Technologist | 7841 Wayzata Blvd, Suite 214, Minneapolis, MN 55426-1452 | 2016-04-25 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1053704296 | Daniel Augustinack | Specialist/Technologist | 3033 Excelsior Blvd Ste 225, Minneapolis, MN 55416-0026 | 2015-03-12 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on MARY L WEDDLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.