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Jeffery Wagenaar, PT

NPI 1457262370 · on the registry since 2026 · sole proprietor

Practice

Address
1142 Mary Ln
North Liberty, IA 52317
Phone
(712) 461-0135

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-17

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 Iowa