Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW THOMAS WAGNER, PT ATC
ActiveMR. ANDREW THOMAS WAGNER, PT ATC is a Physical Therapy Assistant healthcare provider located in LEO, Indiana. NPI 1427130814 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LEO, IN
Registration Details
- NPI Number
- 1427130814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.789558973077 yrs)
- Last Updated
- Feb 1, 2022
- License
-
05007988A (IN)
Practice Information
- Address
-
6863 HOLLOPETER RDLEO, IN, 467659269Browse IN providers · Browse ZIP 46765
- Phone
- 2607972572
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LEO, IN
| Name | Credential | NPI |
|---|---|---|
| JARRED THOMAS BURNS | DPT | 1174080055 |
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.