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

Blair Ellen Wagoner

Individual provider Physical Therapist · NPI 1891939344

Blair Ellen Wagoner is a Physical Therapist in Lexington, Kentucky. Licensed in Arkansas and Kentucky. Registered with an NPI since 2009.

Licensed in
AR, KY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1001 Monarch St Ste 110
Lexington, KY 40513-1495
Phone: (859) 224-0834
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT005412 (KY)
Physical Therapist Taxonomy 225100000X · Licence PT 3141 (AR)

Record details

NPI number1891939344
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2009
Last updated in NPPESApril 9, 2010

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