Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE RENAE WAGONER, PT, DPT
ActiveMICHELLE RENAE WAGONER, PT, DPT is a Physical Therapy Assistant healthcare provider located in PEORIA, Arizona. NPI 1003141433 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEORIA, AZ
Registration Details
- NPI Number
- 1003141433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2009 (16.882141906448 yrs)
- Last Updated
- Oct 2, 2009
- License
-
8684 (AZ)
Practice Information
- Address
-
9713 W TONOPAH DRPEORIA, AZ, 853825110Browse AZ providers · Browse ZIP 85382
- Phone
- 4803810220
- Fax
- 6235949094
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. IAN HOVER | PT, MPT | 1366445033 |
| LISA HAARER | DPT | 1417954710 |
| MR. CLINTON BORMAN | DPT, MTC | 1851398119 |
| MR. ROBERT LEE OAKESON | P.T. | 1598764680 |
| MR. JAMES P MORAN | PT | 1609850585 |
| MR. PATRICK J DOMANICO | PT | 1710966767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.