Sara Wagner, PTA
Physical Therapy Assistant in Mayville, WI. Individual provider (NPI-1).
NPI number1144765652
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1144765652
- Entity type
- Individual (NPI-1)
- Name
- Sara Wagner
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2016
- Last updated
- Dec 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2439-19 | WI | Yes |
Practice location
305 S Clark StMayville, WI 53050-1488
Phone 920-387-1372 · Fax 920-387-1370
Mailing address
305 S Clark StMayville, WI 53050-1488
Phone 920-387-1372 · Fax 920-387-1370
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Other Physical Therapy Assistant providers in Mayville, WI
- Daniel FrenetteNPI 1134564628
- Samantha Rose Jacoby, PTANPI 1780187088
- Sheena RichmondNPI 1952648537
- Darla Lynne Schultz, PTANPI 1467674242
- Robin Marie Wankowski, PTANPI 1134332679
All 6 Physical Therapy Assistant providers in Mayville · All 91 providers in Mayville
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