NPI 1457985053

Brad Wagner

Practitioner Athletic Trainer Florence, KY

Practice location

Address: 4706 Aero Pkwy, Florence, KY 41042-2994
Phone: (513) 431-9305

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT1725 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1457985053
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2020
Record last updated: 24 Feb 2020

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.