| Dr Kellie Marie Wagner, PT, DPT, CSCS | |
|
1223 Madison St, Beaver Dam, WI 53916-2629 | |
| (920) 885-4750 | |
| Not Available |
| Full Name | Dr Kellie Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1223 Madison St, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144539461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11507-24 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kellie Marie Wagner, PT, DPT, CSCS 5002 Autumn Leaf Ln Apt 210, Madison, WI 53704-8654 Ph: (414) 416-2291 | Dr Kellie Marie Wagner, PT, DPT, CSCS 1223 Madison St, Beaver Dam, WI 53916-2629 Ph: (920) 885-4750 |
Karren S Ko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Gateway Dr Ste 300, Beaver Dam, WI 53916 Phone: 800-974-4378 Fax: 630-515-1536 | |
Abigail L Paspalofski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 803 S University Ave, Beaver Dam, WI 53916 Phone: 920-885-6225 | |
Tia Mathwich, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 | |
Mr. Dennis Lee Bostwick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Monroe St, Beaver Dam, WI 53916 Phone: 920-887-1001 Fax: 920-887-2151 | |
Jody Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 S University Avenue, Ste 150, Beaver Dam, WI 53916 Phone: 920-885-2663 Fax: 920-885-2466 | |
Pt Solutions Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Monroe Street, Beaver Dam, WI 53916 Phone: 920-885-6801 Fax: 920-885-6810 |