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

Kristen G Wagoner

Individual provider Developmental Therapist · NPI 1982057337

Kristen G Wagoner is a Developmental Therapist in Chesterton, Indiana. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1595 S Calumet Rd Ste #3
Chesterton, IN 46304-2388
Phone: (219) 763-6858
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1982057337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 21, 2016

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