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

Charles Tom Wagner, PT

Individual provider Physical Therapist · NPI 1891858809

Charles Tom Wagner, PT is a Physical Therapist in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

754 N College Rd Ste D
Twin Falls, ID 83301-5822
Phone: (208) 734-5313
Fax: (208) 736-1582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RPT-208 (ID)

Record details

NPI number1891858809
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESApril 5, 2013
Mailing address754 N College Rd, Ste D, Twin Falls, ID 83301-5822

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