Search › Tennessee › 225XP0200X
Ilse Wagenbach
NPI 1740155522 · on the registry since 2025 · sole proprietor
Practice
- Address
- 13147 Highway 67 W
Butler, TN 37640 - Phone
- (423) 609-0133
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-09
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 Tennessee