Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE DOUGLAS WAGNER, PT
ActiveBLAKE DOUGLAS WAGNER, PT is a Physical Therapy Assistant healthcare provider located in FREMONT, Nebraska. NPI 1811057664 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FREMONT, NE
Registration Details
- NPI Number
- 1811057664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.67749418845 yrs)
- Last Updated
- Oct 30, 2023
- Licenses
-
01883 (IA)1004 (NE)
Practice Information
- Address
-
410 E 22ND ST STE 2FREMONT, NE, 680252640Browse NE providers · Browse ZIP 68025
- Phone
- 8009744378
- Fax
- 6305151536
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FREMONT, NE
| Name | Credential | NPI |
|---|---|---|
| MARY JANE THEILER | MPT | 1497737712 |
| PHILIP DARREN DAVIDSON | MPT | 1679555999 |
| MR. TROY T POST IX | P.T. | 1801848072 |
| FRED W. BROWN | PT | 1598707507 |
| ROSS M TESSENDORF | DPT | 1073539987 |
| CHRIS M DEMUTH | DPT | 1871519785 |
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.