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

Kurt Allen Wagner, ATC

Individual provider Athletic Trainer · NPI 1366219354

Kurt Allen Wagner, ATC is an Athletic Trainer in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

200C Patewood Dr
Greenville, SC 29615-3557
Phone: (864) 454-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0705 (SC)

Record details

NPI number1366219354
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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