National Provider Identifier

Jenna Bergman Wentzel, PT, DPT, LMT

Jenna Bergman Wentzel, PT, DPT, LMT is listed in the NPPES registry with a primary specialty of Physical Therapist in Trumansburg, NY and a listed phone number of (607) 213-3300.

NPI 1891261822Trumansburg, NYPhysical Therapist

Profile Overview

NPI
1891261822
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 17, 2018
Last Updated
January 04, 2021

Practice Location

  • 203 E Main St Ste A
  • Trumansburg, NY 14886-8908

Phone: (607) 213-3300

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1891261822
Entity Type
Individual
Last Name
Wentzel
First Name
Jenna
Middle Name
Bergman
Credential
PT, DPT, LMT
Mailing Street Address
203 E Main St Ste A
Mailing City
Trumansburg
Mailing State
NY
Mailing ZIP Code
14886-8908
Mailing Country
US
Mailing Phone
(607) 213-3300
Practice Street Address
203 E Main St Ste A
Practice City
Trumansburg
Practice State
NY
Practice ZIP Code
14886-8908
Practice Country
US
Practice Phone
(607) 213-3300
Enumeration Date
October 17, 2018
Last Updated
January 04, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)