Richard D Wagner in Cedarburg - Physical Therapist
Richard D Wagner - NPI 1225103476
Richard D Wagner is a Physical Therapist in Cedarburg, Wisconsin. Richard D Wagner practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Richard D Wagner is 1225103476. The last update date is 2008-01-30.
Richard D Wagner's current location address is 1710 Malibu Dr, Cedarburg, Wisconsin. You can contact this provider via phone number 2626184787 and fax number 2623754975. The mailing address for Richard D Wagner is 1710 Malibu Dr, Cedarburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard D Wagner |
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Address | 1710 Malibu Dr, Cedarburg, Wisconsin |
Phone Number | 2626184787 |
Fax Number | 2623754975 |
Sole Proprietor | N |
Credentials | PT CSCS VC |
NPI Number Detail
NPI Number | 1225103476 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
Address | 1710 Malibu Dr |
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City | Cedarburg |
State | Wisconsin (WI) |
Post Code | 530129713 |
Phone Number | 2626184787 |
Fax Number | 2623754975 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 5865024 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
40408000 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard D Wagner?
The Richard D Wagner has been issued the NPI (National Provider Identifier) 1225103476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Richard D Wagner?
The Richard D Wagner is situated at 1710 Malibu Dr, in the city of Cedarburg, state of WI, with the zip code 530129713.
What is the area of specialization for Richard D Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard D Wagner is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225103476 to Richard D Wagner?
The Centers for Medicare & Medicaid Services assigned the 1225103476 to Richard D Wagner on 2006-11-22.
As of what date was the information pertaining to Richard D Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard D Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-30.
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