Makenzi Wagner
Makenzi Wagner is a Physical Therapist in Norman, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
334 12th Ave SENorman, OK 73071-5070
Phone: (405) 310-6590
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 5619 (OK) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence 5619 (OK) |
Record details
| NPI number | 1740807940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2020 |
| Last updated in NPPES | July 8, 2020 |
| Certification date | July 8, 2020 |
| Mailing address | 1412 Sw 23rd St, Moore, OK 73170-7471 |
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