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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HAILEY LYNN WAGNER, PT, DPT

Active Sole Proprietor

HAILEY LYNN WAGNER, PT, DPT is a Physical Therapy Assistant healthcare provider located in NICEVILLE, Florida. NPI 1821602947 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NICEVILLE, FL

Registration Details

NPI Number
1821602947
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2020 (5.7601828113228 yrs)
Last Updated
Feb 21, 2025
Licenses
PT36009 (FL)
PT36009 (FL)
Sole Proprietor
Yes

Practice Information

Address
1950 BLUEWATER BLVD STE 100
NICEVILLE, FL, 325783888
Browse FL providers · Browse ZIP 32578
Phone
8508074200
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in NICEVILLE, FL

Name Credential NPI
MS. SUSAN MARIE GLOVER PT 1720061971
DAWN A BROGNANO PT 1053359273
DAVID DAVIS PT, OCS 1326058264
KERRY HALBERT 1891802690
PATTY PELEN 1275643850
TIFFANY RICHARD-MCLAUGHLIN 1346350097
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.