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

Kimberly Marie Wagner, AT

Individual provider Athletic Trainer · NPI 1124542980

Kimberly Marie Wagner, AT is an Athletic Trainer in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

59 Executive Park S Ste 1100
Atlanta, GA 30329-2208
Phone: (404) 778-6330
Fax: (404) 778-6370
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT002993 (GA)

Record details

NPI number1124542980
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorYes
NPI enumeratedAugust 2, 2017
Last updated in NPPESAugust 2, 2017

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