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

Kathy Martin-Wagner

Individual provider Physical Therapy Assistant · NPI 1881024883

Kathy Martin-Wagner is a Physical Therapy Assistant in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

2899 Five Forks Trickum Rd
Lawrenceville, GA 30044-5803
Phone: (770) 316-9507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA000556 (GA)

Record details

NPI number1881024883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2013
Last updated in NPPESNovember 13, 2013
Mailing address3460 Highland Way, Loganville, GA 30052-3501

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