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

Mr. Kyle Lawrence Wagoner

Individual provider Physical Therapy Assistant · NPI 1710702402

Mr. Kyle Lawrence Wagoner is a Physical Therapy Assistant in FPO, Armed Forces Europe. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 808 Box 431
FPO, AE 09618-0005
Phone: (314) 629-6183

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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1710702402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing addressPsc 808 Box 431, Fpo, AE 09618-0005

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