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

Mrs. Amy Marie Wagner, LPTA

Individual provider Physical Therapy Assistant · NPI 1356667679

Mrs. Amy Marie Wagner, LPTA is a Physical Therapy Assistant in Willoughby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2010

Practice location Address checks out

35300 Kaiser Ct
Willoughby, OH 44094-6633
Phone: (440) 510-8047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06888 (OH)

Record details

NPI number1356667679
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedApril 12, 2010
Last updated in NPPESApril 12, 2010

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