Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD WAGNER
ActiveBRAD WAGNER is a Athletic Trainer healthcare provider located in FLORENCE, Kentucky. NPI 1457985053 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FLORENCE, KY
Registration Details
- NPI Number
- 1457985053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2020 (6.4301536113468 yrs)
- Last Updated
- Feb 24, 2020
- License
-
AT1725 (KY)
Practice Information
- Address
-
4706 AERO PKWYFLORENCE, KY, 410422994Browse KY providers · Browse ZIP 41042
- Phone
- 5134319305
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FLORENCE, KY
| Name | Credential | NPI |
|---|---|---|
| KENNETH PAUL HENKE | ATC, BA | 1023239183 |
| MR. CHRISTOPHER MICHAEL HARP | MS, ATC, CSCS | 1831556406 |
| MR. CLARENCE D REPKA | BS,AT,LAT | 1043756711 |
| MR. BRANDON KRON | ATC | 1457890980 |
| NATHAN HOLTZAPPLE | ATC | 1386185643 |
| JULIA MARIE HOFFMANN | — | 1881247856 |
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.