Ms Wendeline K Poppy, PT, LAT, ATC - in Bloomington, IN

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Ms Wendeline K Poppy, PT, LAT, ATC is a Specialist/technologist - Athletic Trainer based in Bloomington, Indiana. Ms Wendeline K Poppy is licensed to practice in Indiana (license number 36000136A) and her current practice location is 1001 E 17th St, Assembly Hall, Bloomington, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 855-8429.

NPI number for Ms Wendeline K Poppy is 1063494011 and her current mailing address is 4949 N White River Dr, Bloomington, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063494011.

Contact Information

Ms Wendeline K Poppy, PT, LAT, ATC
1001 E 17th St, Assembly Hall,
Bloomington, IN 47408-1590
(812) 855-8429
(812) 855-1810

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Healthcare Provider's Profile

Full NameMs Wendeline K Poppy
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location1001 E 17th St, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063494011
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Wendeline K Poppy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063494011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05001963A (Indiana)Primary
2255A2300XSpecialist/technologist - Athletic Trainer 36000136A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Wendeline K Poppy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Wendeline K Poppy, PT, LAT, ATC
4949 N White River Dr,
Bloomington, IN 47404-9074

Ph: (812) 855-8429		Ms Wendeline K Poppy, PT, LAT, ATC
1001 E 17th St, Assembly Hall,
Bloomington, IN 47408-1590

Ph: (812) 855-8429

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