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

Mrs. Kelly Danielle Wagner, PTA

Individual provider Physical Therapy Assistant · NPI 1881925592

Mrs. Kelly Danielle Wagner, PTA is a Physical Therapy Assistant in Brunswick, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

226 Fish Hall Rd
Brunswick, GA 31523-7405
Phone: (678) 687-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA001543 (GA)

Record details

NPI number1881925592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 20, 2010
Last updated in NPPESDecember 18, 2015

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