KAYLEIGH WAGNER

ERIE, PA
NPI1316594674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: PA  RT006112)
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
KAYLEIGH WAGNER LAT, ATC
501 W 12TH ST
ERIE, PA 16501-1536
Phone number: 814-455-3719
Mailing Address
KAYLEIGH WAGNER LAT, ATC
1443 GREENFIELD DR
ERIE, PA 16509-2912
Phone number: 814-602-9206