Provider Demographics
NPI:1942098504
Name:WETZEL, TESLA MARIE
Entity type:Individual
Prefix:
First Name:TESLA
Middle Name:MARIE
Last Name:WETZEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 S BLACKSMITH AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:PA
Mailing Address - Zip Code:17366-8401
Mailing Address - Country:US
Mailing Address - Phone:717-858-4934
Mailing Address - Fax:
Practice Address - Street 1:873 CLARE LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4317
Practice Address - Country:US
Practice Address - Phone:717-840-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist