Individual provider · Type 1 NPI

Kimberly N. Wagner, DPT

Pediatric Physical Therapist · Henderson, NV

NPI number 1104176593 Active

Practice location

750 Coronado Center Dr, Suite 120
Henderson, NV 89052-5034

Mailing address

6617 Sunset Pines St
Las Vegas, NV 89148-4251

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2757 (NV)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1104176593

Kimberly N. Wagner, DPT's National Provider Identifier is 1104176593, issued on Sep 13, 2012. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Henderson, NV. The record was last updated on Sep 30, 2019.