SearchArizona174400000X

Garth Wagenman, PT

NPI 1952599284 · on the registry since 2007

Practice

Address
125 E Elm Ave
Ste 103
Flagstaff, AZ 86001
Phone
(928) 779-1679
Fax
(928) 779-2822
Clinicians at this address
27

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-11

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 Arizona