Krista Wagenknecht
Krista Wagenknecht is a Physical Therapist in Private Practice in Milledgeville, Illinois. Qualified in 2013, 13 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.
- Years since qualifying
- 13
- Licensed in
- AZ, IL
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
6399 Hitt RdMilledgeville, IL 61051-9379
Phone: (815) 718-4686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence LPT30393 (AZ) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 070020452 (IL) |
Record details
| NPI number | 1518525047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 30, 2019 |
| Last updated in NPPES | June 3, 2019 |
| Mailing address | 6399 Hitt Rd, Milledgeville, IL 61051-9379 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Legacy Healthcare Services Inc — 3624 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |