Kristin Wagner, PT
Physical Therapist in New Lenox, IL. Individual provider (NPI-1).
NPI number1265629307
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1265629307
- Entity type
- Individual (NPI-1)
- Name
- Kristin Wagner
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2007
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070011465 | IL | Yes |
Other names
- Kristin Swidergal (Other Name)
Practice location
806 Laraway Rd808
New Lenox, IL 60451-2694
Phone 815-462-8416 · Fax 815-462-8425
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2223
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All 55 Physical Therapist providers in New Lenox · All 1,012 providers in New Lenox
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