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

Mary Wagoner

Individual provider Physical Therapist · NPI 1215427620

Mary Wagoner is a Physical Therapist in Arnold, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
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Practice location Address checks out

849 Jeffco Blvd
Arnold, MO 63010-1409
Phone: (636) 282-5184
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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 01307 (MO)

Record details

NPI number1215427620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018
Mailing address7751 S Engle Creek Rd, Barnhart, MO 63012-2709

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