Individual provider · Type 1 NPI

Kayleigh Wagner, LAT, ATC

Sports Medicine (Preventive Medicine) Physician · Erie, PA

NPI number 1316594674 Active

Practice location

501 W 12th St
Erie, PA 16501-1536

Mailing address

1443 Greenfield Dr
Erie, PA 16509-2912

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010XRT006112 (PA)

Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

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About NPI 1316594674

Kayleigh Wagner, LAT, ATC's National Provider Identifier is 1316594674, issued on Aug 21, 2019. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Erie, PA. The record was last updated on Aug 21, 2019.