SearchMissouriPhysical Therapist

Kevin Wagner, MD PT CERT MDT

NPI 1295735926 · on the registry since 2005

Practice

Address
11903 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone
(314) 770-0900
Fax
(314) 770-1673
Organisation at this address
Md Health And Wellness Llc
Advantage Pain Management Inc
Back Pain Institute Of St. Louis, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri