Blake Douglas Wagner, PT
Blake Douglas Wagner, PT is a Physical Therapist in Fremont, Nebraska. Licensed in Iowa and Nebraska. Registered with an NPI since 2006.
- Licensed in
- IA, NE
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
410 E 22nd St Ste 2Fremont, NE 68025-2640
Phone: (800) 974-4378
Fax: (630) 515-1536
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 1004 (NE) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 01883 (IA) |
Record details
| NPI number | 1811057664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
| Mailing address | 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 |
Other providers in Fremont
-
Nathan J. Sieler, PT
450 E 23rd St, Fremont, NE 68025-9802 · (402) 941-1699
-
Christine Elizabeth Spreeman, PT
450 E 23rd St, Fremont, NE 68025-2303 · (402) 727-3772
-
Ross M Tessendorf, DPT
2123 E 23rd Ave S, Fremont, NE 68025-2498 · (402) 721-1112
-
Mary Jane Theiler, MPT
410 E 22nd St, Fremont, NE 68025-2609 · (402) 721-3908
-
Amy Werner, DPT
1005 E 23rd St, Fremont, NE 68025-0800 · (866) 784-2329
-
Clinton Werner, DPT
980 County Rd W Lot S115, Fremont, NE 68025 · (402) 669-9621