| Dr Jadalyn Lane Wagner, OTD | |
|
20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 | |
| (320) 244-2437 | |
| (320) 234-6358 |
| Full Name | Dr Jadalyn Lane Wagner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 20288 Highway 15 N Ste 100, Hutchinson, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497595136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 107577 (Minnesota) | Primary |
| Provider Name | Nystrom & Associates Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jadalyn Lane Wagner, OTD 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Dr Jadalyn Lane Wagner, OTD 20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 Ph: (320) 244-2437 |
Jaclyn Renee Haley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N, Suite 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358 | |
Paige Marie Nelles, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N Ste 100, Hutchinson, MN 55350 Phone: 320-587-2326 | |
Danielle King, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-484-4400 | |
Susan Denise Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N, Suite 100, Hutchinson, MN 55350 Phone: 320-587-2326 Fax: 320-234-6358 | |
Jessica Munsch, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Prospect St. Ne, Hutchinson, MN 55350 Phone: 507-430-7526 | |
Toni Jean Peterson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-234-5000 | |
Isabella Kuphal, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 20288 Highway 15 N Ste 100, Hutchinson, MN 55350 Phone: 320-333-5523 |