Provider Demographics
NPI:1538254073
Name:WILNES, WANDA L (PT)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:L
Last Name:WILNES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:WANDA
Other - Middle Name:L
Other - Last Name:SCHEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4500 S 70TH ST
Mailing Address - Street 2:#115
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4283
Mailing Address - Country:US
Mailing Address - Phone:402-817-1784
Mailing Address - Fax:402-264-9611
Practice Address - Street 1:4500 S 70TH ST
Practice Address - Street 2:#115
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4283
Practice Address - Country:US
Practice Address - Phone:402-817-1784
Practice Address - Fax:402-264-9611
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist