Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW BLAKE WAGNER, PT
ActiveMR. ANDREW BLAKE WAGNER, PT is a Physical Therapy Assistant healthcare provider located in YORKTOWN, Indiana. NPI 1306802087 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · YORKTOWN, IN
Registration Details
- NPI Number
- 1306802087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2006 (20.286526971181 yrs)
- Last Updated
- Jul 8, 2007
- License
-
05007376A (IN)
Practice Information
- Address
-
7701 WEST KILGORESTE 1AYORKTOWN, IN, 47396Browse IN providers · Browse ZIP 47396
- Phone
- 7657595273
- Fax
- 7657595519
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in YORKTOWN, IN
| Name | Credential | NPI |
|---|---|---|
| MISS DARLA SUE BAKER | PT ATC L | 1518927599 |
| KATHLEEN B SHAPIRO | PT | 1386700276 |
| TIFFANY L STINSON | DPT | 1518094119 |
| MRS. ANNA ADENDA SABIJON | — | 1073713566 |
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.