Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES TOM WAGNER, PT
ActiveCHARLES TOM WAGNER, PT is a Physical Therapy Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1891858809 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1891858809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2006 (19.466320506644 yrs)
- Last Updated
- Apr 5, 2013
- License
-
RPT-208 (ID)
Practice Information
- Address
-
754 N COLLEGE RDSTE DTWIN FALLS, ID, 833015822Browse ID providers · Browse ZIP 83301
- Phone
- 2087345313
- Fax
- 2087361582
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIE ANN SCHWERMAN | PT | 1851350938 |
| M ANDREW MIX | RPT | 1346205937 |
| BRADLEY C WILLIAMS | PT | 1841255015 |
| BRYAN D WRIGHT | DPT | 1265525315 |
| MRS. TRACY ERVIN | PT | 1376623363 |
| JULIE A ELLIS | PT | 1205999281 |
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.