MR. Kevin Matthew Wagner, MD PT CERT MDT

NPI #1295735926 in Bridgeton, Missouri

Provider Information

NPI Number
1295735926
Entity Type
Individual
Name
MR. Kevin Matthew Wagner, MD PT CERT MDT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MD PT CERT MDT
Enumeration Date
Jul 22, 2005
Last Updated
Apr 29, 2010

Practice Location

Address
11903 SAINT CHARLES ROCK RD
ZIP Code
63044-2623
Phone
(314) 770-0900

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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