Individual provider · Type 1 NPI
Justin Roman Wagner, PT
Specialist · Cedar Rapids, IA
NPI number
1669451472
Active
Practice location
Rec Center Physical Therapy, 400 Collins Rd NE 154-100
Cedar Rapids, IA 52498-0001
Fax (319) 295-8833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 03670 (IA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1669451472
Justin Roman Wagner, PT's National Provider Identifier is 1669451472, issued on Jan 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Oct 2, 2013.