Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY MARIE WAGNER, AT
Active Sole ProprietorKIMBERLY MARIE WAGNER, AT is a Athletic Trainer healthcare provider located in ATLANTA, Georgia. NPI 1124542980 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ATLANTA, GA
Registration Details
- NPI Number
- 1124542980
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2017 (8.8439815604658 yrs)
- Last Updated
- Aug 2, 2017
- License
-
AT002993 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 EXECUTIVE PARK S STE 1100ATLANTA, GA, 303292208Browse GA providers · Browse ZIP 30329
- Phone
- 4047786330
- Fax
- 4047786370
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| TRINA L RIZUTO | ATC | 1972578482 |
| MS. VANESSA DARLEEN WILSON | ATC | 1669431235 |
| TIMOTHY EMIL HANSEN | A.T.C. | 1740241520 |
| MARK A. WENTWORTH | AT-C | 1740242742 |
| TANYA MARIE MAXWELL | A.T.C | 1336101310 |
| JENNIFER J. BRIDGES | AT-C | 1063474062 |
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.