Mr. Kevin Matthew Wagner, MDPTCERTMDT
Mr. Kevin Matthew Wagner, MDPTCERTMDT is a Physical Therapist in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
Practice location Address checks out
11903 Saint Charles Rock RdBridgeton, MO 63044-2623
Phone: (314) 770-0900
Fax: (314) 770-1673
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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 115026 (MO) |
|---|
Record details
| NPI number | 1295735926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPTCERTMDT |
| Sole proprietor | No |
| NPI enumerated | July 22, 2005 |
| Last updated in NPPES | April 29, 2010 |
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