Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA WAGENKNECHT
ActiveKRISTA WAGENKNECHT is a Physical Therapy Assistant healthcare provider located in MILLEDGEVILLE, Illinois. NPI 1518525047 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MILLEDGEVILLE, IL
Registration Details
- NPI Number
- 1518525047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2019 (7.2223962874782 yrs)
- Last Updated
- Jun 3, 2019
- Licenses
-
070020452 (IL)LPT30393 (AZ)
Practice Information
- Address
-
6399 HITT RDMILLEDGEVILLE, IL, 610519379Browse IL providers · Browse ZIP 61051
- Phone
- 8157184686
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.