Individual provider · Type 1 NPI

Kellie Marie Wagner, PT, DPT, CSCS

Physical Therapist · Beaver Dam, WI

NPI number 1144539461 Active

Practice location

1223 Madison St
Beaver Dam, WI 53916-2629

Mailing address

5002 Autumn Leaf Ln Apt 210
Madison, WI 53704-8654

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X11507-24 (WI)

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 1144539461

Kellie Marie Wagner, PT, DPT, CSCS's National Provider Identifier is 1144539461, issued on Oct 4, 2010. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Beaver Dam, WI. The record was last updated on Oct 4, 2010.