Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES BLAKE WAGNER, P.T.
ActiveJAMES BLAKE WAGNER, P.T. is a Ergonomics (Occupational Therapy) healthcare provider located in SHERWOOD, Arkansas. NPI 1306804448 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · SHERWOOD, AR
Registration Details
- NPI Number
- 1306804448
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.101434180713 yrs)
- Last Updated
- Mar 11, 2014
- Licenses
-
PT2565 (AR)PT2565 (AR)
Practice Information
- Address
-
1525 COUNTRY CLUB RDSHERWOOD, AR, 721205076Browse AR providers · Browse ZIP 72120
- Phone
- 5019783135
- Fax
- 5019783138
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
- Additional Specialty
- Ergonomics (Occupational Therapy)
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.