Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER KEITH WAGNER
ActiveTANNER KEITH WAGNER is a Occupational Therapist healthcare provider located in GRUNDY, Virginia. NPI 1043032154 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRUNDY, VA
Registration Details
- NPI Number
- 1043032154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2024 (1.797297844458 yrs)
- Last Updated
- Oct 29, 2024
- License
-
0119010676 (VA)
Practice Information
- Address
-
20716 RIVERSIDE DRGRUNDY, VA, 246146747Browse VA providers · Browse ZIP 24614
- Phone
- 2769356496
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in GRUNDY, VA
| Name | Credential | NPI |
|---|---|---|
| MEGAN HALL | — | 1184204331 |
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.