Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILSE WAGENBACH
Active Sole ProprietorILSE WAGENBACH is a Pediatric Occupational Therapist healthcare provider located in BUTLER, Tennessee. NPI 1740155522 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · BUTLER, TN
Registration Details
- NPI Number
- 1740155522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2025 (0.84823518929053 yrs)
- Last Updated
- Oct 9, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
13147 HIGHWAY 67 WBUTLER, TN, 376407218Browse TN providers · Browse ZIP 37640
- Phone
- 4236090133
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.