Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH GABRIEL WAGONER, PTA
ActiveKENNETH GABRIEL WAGONER, PTA is a Occupational Therapist healthcare provider located in STATESVILLE, North Carolina. NPI 1164393674 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · STATESVILLE, NC
Registration Details
- NPI Number
- 1164393674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2025 (0.91569597976766 yrs)
- Last Updated
- Sep 16, 2025
- License
-
A8675 (NC)
Practice Information
- Address
-
1845 E BROAD STSTATESVILLE, NC, 286254307Browse NC providers · Browse ZIP 28625
- Phone
- 9808903255
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in STATESVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| PATRICIA IRENE PUTNEY | LPTA | 1962635631 |
| MRS. AIMEE RAE MILLER | PTA | 1407186828 |
| MRS. SANDRA LORRAINE SCALESE | PTA | 1235663162 |
| ANGELA BOGLE FAUST | PTA | 1366904377 |
| MRS. RUBY JANE LOCKE | PTA | 1538621222 |
| TIFFANY DAWN HECKER | PTA | 1881259059 |
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.