Kelly Wagle, DPT

NPI #1912212176 in Elmhurst, Illinois

Provider Information

NPI Number: 1912212176
Entity Type: Individual
Name: Kelly Wagle, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 12, 2010
Last Updated: Jan 22, 2016

Practice Location

Address: 111 W 3RD ST
City: Elmhurst
State: Illinois
ZIP Code: 60126-2798
Phone: (630) 415-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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