Individual provider · Type 1 NPI

Kyle Lawrence Wagoner

Physical Therapy Assistant · Fpo, AE

NPI number 1710702402 Active

Practice location

Psc 808 Box 431
Fpo, AE 09618-0005

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1710702402

Kyle Lawrence Wagoner's National Provider Identifier is 1710702402, issued on Nov 19, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fpo, AE. The record was last updated on Nov 19, 2024.