| NPI | 1679623391 |
|---|---|
| Doing Business As | WAGNER WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHIAS HEINRICH WAGNER President 816-420-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-03-06 |