Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AUSTIN MICHAEL WAGNER, ATC
Active Sole ProprietorMR. AUSTIN MICHAEL WAGNER, ATC is a Athletic Trainer healthcare provider located in SAINT LOUIS, Missouri. NPI 1083066112 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1083066112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2016 (10.101306291123 yrs)
- Last Updated
- Aug 2, 2022
- License
-
2018009147 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6300 JAMES S MCDONNELL BLVDSAINT LOUIS, MO, 631341940Browse MO providers · Browse ZIP 63134
- Phone
- 3142328702
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
Other Athletic Trainer Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT DANIEL KUGLER | ATC, LMT | 1407822505 |
| MR. JOEL D. CRYDER | ATC, CSCS | 1346217460 |
| DANIEL KEITH MCLEOD | ATC | 1740240555 |
| MS. MEREDITH LYNN RUCK | MS, ATC | 1447211727 |
| MRS. AMANDA LEIGH SULLIVAN | MS, ATC | 1730141151 |
| MS. ELIZABETH ANNE SIZE | ATC | 1649221649 |
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.