Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAIR ELLEN WAGONER
ActivePediatric Occupational Therapy · LEXINGTON, KY
Registration Details
- NPI Number
- 1891939344
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2009 (16.984779012489 yrs)
- Last Updated
- Apr 9, 2010
- Licenses
-
PT 3141 (AR)PT005412 (KY)
Practice Information
- Address
-
1001 MONARCH STSUITE 110LEXINGTON, KY, 405131495Browse KY providers · Browse ZIP 40513
- Phone
- 8592240834
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Pediatric Occupational Therapy
Other Pediatric Occupational Therapy Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. CHELSEA ELIZABETH SEWELL | MSPT | 1588994743 |
| MRS. JORDAN LEIGH BENNETT | DPT | 1982956751 |
| JESSICA NICOLE RASPEN | DPT | 1043656945 |
| AMY RAY | PT, MPT | 1518379775 |
| HEIDI MELLA | — | 1902210099 |
| KEISHLA MARIE GONZALEZ-ACOSTA | MSPT | 1194126508 |
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.