Individual provider · Type 1 NPI

Kathy Martin-Wagner

Physical Therapy Assistant · Lawrenceville, GA

NPI number 1881024883 Active

Practice location

2899 Five Forks Trickum Rd
Lawrenceville, GA 30044-5803

Call (770) 316-9507 Map

Mailing address

3460 Highland Way
Loganville, GA 30052-3501

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA000556 (GA)

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 1881024883

Kathy Martin-Wagner's National Provider Identifier is 1881024883, issued on Nov 13, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 13, 2013.