Kristin Wagner, PT

NPI #1265629307 in New Lenox, Illinois

Provider Information

NPI Number: 1265629307
Entity Type: Individual
Name: Kristin Wagner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 3, 2007
Last Updated: Jun 18, 2024

Practice Location

Address: 806 LARAWAY RD
Address 2: 808
City: New Lenox
State: Illinois
ZIP Code: 60451-2694
Phone: (815) 462-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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