Ilse Wagenbach
Ilse Wagenbach is a Pediatric Occupational Therapist in Butler, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2025
Practice location Address checks out
13147 Highway 67 WButler, TN 37640-7218
Phone: (423) 609-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X (TN) |
|---|
Record details
| NPI number | 1740155522 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2025 |
| Last updated in NPPES | October 9, 2025 |
| Certification date | October 9, 2025 |
| Mailing address | 13147 Highway 67 W, Butler, TN 37640-7218 |