Kenneth Gabriel Wagoner, PTA
Kenneth Gabriel Wagoner, PTA is a Physical Therapy Assistant in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.
- Licensed in
- NC
- In the registry since
- 2025
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
1845 E Broad StStatesville, NC 28625-4307
Phone: (980) 890-3255
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A8675 (NC) |
|---|
Record details
| NPI number | 1164393674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | September 16, 2025 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
Other providers in Statesville
-
Mrs. Aimee Rae Miller, PTA
2640 Davie Ave, Statesville, NC 28625-8256 · (704) 871-0705
-
Jacob Adam Papale, PTA
1531 Cinema Dr Ste C, Statesville, NC 28625-5403 · (704) 746-0022
-
Patricia Irene Putney, LPTA
417 Saint Andrews Rd, Statesville, NC 28625-4660 · (315) 783-7439
-
Mrs. Sandra Lorraine Scalese, PTA
520 Valley Street Brian Center Health And Rehabilitation, Statesville, NC 28677 · (704) 873-0517