| NPI | 1295501849 |
|---|---|
| Former Name | LINDSEY MICHELLE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305153) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-10-03 |