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Micaiah Wagner, DPT

NPI 1538018189 · on the registry since 2026

Practice

Address
5400 Gary St
Fort Smith, AR 72903
Phone
(918) 658-0975
Organisation at this address
Greater Pt Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-27

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 Arkansas