Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLIE MARIE WAGNER, PT, DPT, CSCS
ActiveDR. KELLIE MARIE WAGNER, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in BEAVER DAM, Wisconsin. NPI 1144539461 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEAVER DAM, WI
Registration Details
- NPI Number
- 1144539461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2010 (15.817789631382 yrs)
- Last Updated
- Oct 4, 2010
- License
-
11507-24 (WI)
Practice Information
- Address
-
1223 MADISON STBEAVER DAM, WI, 539162629Browse WI providers · Browse ZIP 53916
- Phone
- 9208854750
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| THOMAS W HYKE | PT | 1295797967 |
| MR. BRET ACHTERBERG | — | 1467499830 |
| BETTY GROENEWOLD | P.T. | 1396784831 |
| JODY WEBER | DPT | 1124119375 |
| MR. DENNIS LEE BOSTWICK | P.T. | 1063620987 |
| KARREN S KO | PT | 1013240142 |
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.