National Provider Identifier
Farley Wagner, PT
Farley Wagner, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Farmington, NY and a listed phone number of (585) 924-4459.
Profile Overview
- NPI
- 1699312363
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 02, 2019
- Last Updated
- December 02, 2019
Practice Location
- 1160 Corporate Dr
- Farmington, NY 14425-9534
Phone: (585) 924-4459
Mailing Address
- 5931 Yahn RD
- Farmington, NY 14425-9577
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1699312363
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Farley
- Credential
- PT
- Mailing Street Address
- 5931 Yahn RD
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425-9577
- Mailing Country
- US
- Mailing Phone
- (585) 233-2069
- Practice Street Address
- 1160 Corporate Dr
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425-9534
- Practice Country
- US
- Practice Phone
- (585) 924-4459
- Enumeration Date
- December 02, 2019
- Last Updated
- December 02, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)