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

Elise Marie Wagner

Individual provider Occupational Therapist · NPI 1144710997

Elise Marie Wagner is an Occupational Therapist in Bristol, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
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Practice location Address checks out

23 Hunt St
Bristol, IL 60512-2003
Phone: (630) 553-4383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056009322 (IL)

Record details

NPI number1144710997
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 17, 2018