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

Mr. Austin Michael Wagner, ATC

Individual provider Athletic Trainer · NPI 1083066112

Mr. Austin Michael Wagner, ATC is an Athletic Trainer in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
Specialties on file
2
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

6300 James S McDonnell Blvd
Saint Louis, MO 63134-1940
Phone: (314) 232-8702
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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 2018009147 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083066112
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 13, 2016
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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