NPI 1104297175

Rachel Ann Wagner

Practitioner Physical Therapy Assistant Eagle River, AK

Practice location

Address: 12812 Old Glenn Hwy STE A5, Eagle River, AK 99577-7002
Phone: (907) 317-9349
Mailing address: 12110 Business Blvd STE 6 Pmb 413, Eagle River, AK 99577-7741

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 101078 (AK)

Other Physical Therapy Assistant providers in Alaska →

Registry record

NPI: 1104297175
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2015
Record last updated: 15 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.