Individual provider · Type 1 NPI

Kevin Matthew Wagner, MD PT CERT MDT

Physical Therapist · Bridgeton, MO

NPI number 1295735926 Active

Practice location

11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623

Call (314) 770-0900 Map

Fax (314) 770-1673

Mailing address

Back Pain Institute Of St. Louis Llc, 11903 St. Charles Rock Rd.
Bridgeton, MO 63044

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X115026 (MO)

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 1295735926

Kevin Matthew Wagner, MD PT CERT MDT's National Provider Identifier is 1295735926, issued on Jul 22, 2005. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bridgeton, MO. The record was last updated on Apr 29, 2010.