| Charles Tom Wagner, PT | |
|
754 N College Rd, Ste D, Twin Falls, ID 83301-5822 | |
| (208) 734-5313 | |
| (208) 736-1582 |
| Full Name | Charles Tom Wagner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 754 N College Rd, Twin Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891858809 | NPI | - | NPPES |
| 002620200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT-208 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Tom Wagner, PT 754 N College Rd, Ste D, Twin Falls, ID 83301-5822 Ph: (208) 734-5313 | Charles Tom Wagner, PT 754 N College Rd, Ste D, Twin Falls, ID 83301-5822 Ph: (208) 734-5313 |
Lifestyles Therapy & Wellness Center Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 276 Eastland Dr N, Twin Falls, ID 83301 Phone: 208-735-8563 Fax: 208-735-8564 | |
Paul G. Ostyn, MPT, MA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Shoup Ave W, Twin Falls, ID 83301 Phone: 208-737-2126 | |
Elizabeth Anne Olorenshaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301 Phone: 208-736-9011 Fax: 208-934-9014 | |
Cody Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line, Twin Falls, ID 83301 Phone: 208-814-2570 | |
Cade Searle, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 754 N College Rd Ste D, Twin Falls, ID 83301 Phone: 208-734-5313 | |
Nikki Sophia Rogers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 | |
Deborah Jan Yingst, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 |