Susan M Wagner, PT, CHT
Physical Therapist, Hand in Hastings, MN. Individual provider (NPI-1).
NPI number1144337635
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1144337635
- Entity type
- Individual (NPI-1)
- Name
- Susan M Wagner
- Credential
- PT, CHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251H1200X | Physical Therapist, Hand | 6588 | – | Yes |
Practice location
85 Pleasant DrHastings, MN 55033-1648
Phone 651-404-1002
Mailing address
1307 18th St WHastings, MN 55033-3212
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