Individual provider · Type 1 NPI

Karyn Elizabeth Wagner

Pediatric Physical Therapist · Indianapolis, IN

NPI number 1104719970 Active

Practice location

6330 E 75th St Ste 206
Indianapolis, IN 46250-2700

Mailing address

1385 Jeffrey Ct W
Carmel, IN 46032-1278

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X05008732A (IN)

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 1104719970

Karyn Elizabeth Wagner's National Provider Identifier is 1104719970, issued on May 31, 2025. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Indianapolis, IN. The record was last updated on May 31, 2025.