Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRESTON THOMAS WAGNER
ActivePRESTON THOMAS WAGNER is a Physical Therapy Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1861040370 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1861040370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2019 (6.9571798790297 yrs)
- Last Updated
- Aug 28, 2019
- License
-
05013517A (IN)
Practice Information
- Address
-
7617 W JEFFERSON BLVD STE DFORT WAYNE, IN, 468044164Browse IN providers · Browse ZIP 46804
- Phone
- 2604368454
- Fax
- 2604899121
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| PETER A PAONESSA | P.T. | 1013910934 |
| JASON HAZELETT | PT | 1346247681 |
| CHAD E PARENT | PT | 1306845797 |
| CYNTHIA C TOLL | PT | 1114926516 |
| JULIE HERMAN | P.T. | 1902805351 |
| CAROL S. BENNETT | P.T. | 1649279993 |
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.