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

Garth Wagenman, PT

Individual provider Specialist · NPI 1952599284

Garth Wagenman, PT is a Specialist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
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

125 E Elm Ave Ste 103
Flagstaff, AZ 86001-3258
Phone: (928) 779-1679
Fax: (928) 779-2822
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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 7849 (AZ)

Record details

NPI number1952599284
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007
Mailing address125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258

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