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

Maddie A Wagoner, ATS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871200766

Maddie A Wagoner, ATS is a Student in an Organized Health Care Education/Training Program in Gulf Breeze, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1040 Gulf Breeze Pkwy Ste 203
Gulf Breeze, FL 32561-7808
Phone: (208) 851-8361
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 7019 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871200766
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATS
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

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