Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH ANN WAGNER, DPT
Active Sole ProprietorELIZABETH ANN WAGNER, DPT is a Physical Therapy Assistant healthcare provider located in LANSING, Illinois. NPI 1104216555 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LANSING, IL
Registration Details
- NPI Number
- 1104216555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2015 (11.555332806173 yrs)
- Last Updated
- Apr 12, 2019
- Licenses
-
PT30032 (FL)070022160 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16819 TORRENCE AVELANSING, IL, 604386019Browse IL providers · Browse ZIP 60438
- Phone
- 7083945215
- Fax
- 7084743853
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LANSING, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL TIMOTHY FITZGERALD | P.T. | 1205894045 |
| MR. JAMES ANTHONY LOPICCOLO | DPT,OCS, ATC | 1588772271 |
| MRS. KRISTINE JAROS ROBINSON | PT | 1336250455 |
| STEPHANIE E WASHINGTON | PT | 1033237375 |
| MR. DAVID JOHN O'CONNELL | P.T. | 1134336639 |
| BARBARA A DANKS | — | 1164610572 |
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.