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

Individual provider Physical Therapy Assistant · NPI 1528230497

Kelly Lynn Wagnitz, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (920) 422-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 721-091 (WI)

Record details

NPI number1528230497
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 31, 2008
Last updated in NPPESMarch 31, 2008

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