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

Mrs. Mary Jo Anne Wagner, MARYJO, WAGNERPT

Individual provider Physical Therapist · NPI 1750599841

Mrs. Mary Jo Anne Wagner, MARYJO, WAGNERPT is a Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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Practice location Address checks out

9717 Landmark Parkway Dr #216
Saint Louis, MO 63127-1628
Phone: (314) 849-4120
Fax: (314) 849-2540
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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 01942 (MO)

Record details

NPI number1750599841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MARYJO , WAGNERPT
Sole proprietorYes
NPI enumeratedMay 20, 2007
Last updated in NPPESJuly 8, 2007

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