SearchSouth Carolina2255A2300X

Kurt Wagner, LAT, ATC

NPI 1366219354 · on the registry since 2023

Practice

Address
200c Patewood Dr
Greenville, SC 29615
Phone
(864) 454-7422

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-09

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 South Carolina