Richard Wager, PHYSICAL THERAPIST
NPI #1912989252 in Belleville, Illinois
Provider Information
- NPI Number
- 1912989252
- Entity Type
- Individual
- Name
- Richard Wager, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Sports
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- Nov 14, 2005
- Last Updated
- Jul 29, 2016
Practice Location
- Address
- 2346 MASCOUTAH AVE
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-3499
- Phone
- (618) 277-6282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Sports — Sports |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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