MR. Richard D Wagner JR. PT CSCS VCS

  • 1225103476 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for MR. Richard D Wagner JR. PT CSCS VCS is 1225103476 and actived since Wednesday, November 22 2006. MR. Richard D Wagner JR. PT CSCS VCS is an individual provider specializes in Physical Therapist, primary practice location is 2020 Cheyenne Ct, Grafton, WI 53024. You can also contact MR. Richard D Wagner JR. PT CSCS VCS via telephone number is (262) 375-1075. Provider NPI information was last updated on 01/30/2008.

Recently Active NPIs

Overview of MR. Richard D Wagner JR. PT CSCS VCS

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Physical Therapist
  • Gender: Male
  • Active since: 11/22/2006
  • Last updated: 01/30/2008

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5865024
  • License State: WI

Provider Mailing Address

  • Address: 1710 Malibu Dr
    Cedarburg, WI 53012
  • Phone: 262-618-4787
  • Fax: 262-375-4975

Provider Practice Location

  • Address: 2020 Cheyenne Ct
    Grafton, WI 53024
  • Phone: 262-375-1075
  • Fax: 262-375-4975

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5865024
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 40408000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for MR. Richard D Wagner JR. PT CSCS VCS?
  • A: The npi number for MR. Richard D Wagner JR. PT CSCS VCS is 1225103476.
  • Q: What are MR. Richard D Wagner JR. PT CSCS VCS's specialties?
  • A: MR. Richard D Wagner JR. PT CSCS VCS's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for MR. Richard D Wagner JR. PT CSCS VCS?
  • A: The medical license number for MR. Richard D Wagner JR. PT CSCS VCS is 5865024 and issued in WI in USA.
  • Q: Where is MR. Richard D Wagner JR. PT CSCS VCS practice location?
  • A: MR. Richard D Wagner JR. PT CSCS VCS is practicing at 2020 Cheyenne Ct, Grafton, WI 53024.
  • Q: How to contact MR. Richard D Wagner JR. PT CSCS VCS?
  • A: You can contact MR. Richard D Wagner JR. PT CSCS VCS via 262-375-1075.