Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER LEE WAGONER, P.T.
ActiveMRS. JENNIFER LEE WAGONER, P.T. is a Physical Therapy Assistant healthcare provider located in MACOMB, Illinois. NPI 1861785206 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MACOMB, IL
Registration Details
- NPI Number
- 1861785206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2011 (15.216883154374 yrs)
- Last Updated
- Feb 10, 2022
- License
-
070015942 (IL)
Practice Information
- Address
-
505 E GRANT STMACOMB, IL, 614553352Browse IL providers · Browse ZIP 61455
- Phone
- 3098331733
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN SCOTT HIGGINS | PT | 1932108636 |
| JORDAN FINK | P.T. | 1467468033 |
| MS. JODY LEE LOOP | P.T. | 1972775476 |
| LINDSEY SCHAFER | — | 1780133090 |
| ALANA HENDRIXSON | PT, DPT | 1811502131 |
| DANA PEACOCK | — | 1285412015 |
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.