Individual provider · Type 1 NPI
Ethan James Wagner, DPT
Physical Therapist · Benton, AR
Practice location
20320 I 30 # 190
Benton, AR 72019-8027
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist Primary | 225100000X | PT5585 (AR) |
Physical Therapist: 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 perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…
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About NPI 1104640879
Ethan James Wagner, DPT's National Provider Identifier is 1104640879, issued on Nov 11, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Benton, AR. The record was last updated on Nov 11, 2024.