Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD WAGER, PHYSICAL THERAPIST
ActiveRICHARD WAGER, PHYSICAL THERAPIST is a Environmental Modification (OT) healthcare provider located in BELLEVILLE, Illinois. NPI 1912989252 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · BELLEVILLE, IL
Registration Details
- NPI Number
- 1912989252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.758536780365 yrs)
- Last Updated
- Jul 29, 2016
- Licenses
-
070004745 (IL)096000735 (IL)
Practice Information
- Address
-
2346 MASCOUTAH AVEBELLEVILLE, IL, 622203499Browse IL providers · Browse ZIP 62220
- Phone
- 6182776282
- Fax
- 6182776284
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Athletic Trainer
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.