Provider Demographics
NPI:1053406249
Name:ORMSBY, WENDY RACHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:RACHELLE
Last Name:ORMSBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:RACHELLE
Other - Last Name:ORMSBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1659 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3405
Mailing Address - Country:US
Mailing Address - Phone:330-220-6111
Mailing Address - Fax:330-220-6115
Practice Address - Street 1:1659 PEARL RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3405
Practice Address - Country:US
Practice Address - Phone:330-220-6111
Practice Address - Fax:330-220-6115
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor