Individual provider · Type 1 NPI

Blake Douglas Wagner, PT

Physical Therapist · Fremont, NE

NPI number 1811057664 Active

Practice location

410 E 22nd St Ste 2
Fremont, NE 68025-2640

Call (800) 974-4378 Map

Fax (630) 515-1536

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X01883 (IA)
Physical Therapist Primary 225100000X1004 (NE)

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 1811057664

Blake Douglas Wagner, PT's National Provider Identifier is 1811057664, issued on Dec 11, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fremont, NE. The record was last updated on Oct 30, 2023.