Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Wagner

Individual provider Athletic Trainer · NPI 1477941151

Adam Wagner is an Athletic Trainer in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3400 1st St N Ste 105
Saint Cloud, MN 56303-1924
Phone: (320) 774-1355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6987 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence T530255488808 (MN)

Record details

NPI number1477941151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2015
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address3400 1st St N Ste 105, Saint Cloud, MN 56303-1924

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