National Provider Identifier
Andrew Howard Wagner
Andrew Howard Wagner is listed in the NPPES registry with a primary specialty of Physical Therapist in Elma, NY and a listed phone number of (716) 432-5113.
Profile Overview
- NPI
- 1780198416
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 16, 2017
- Last Updated
- July 09, 2020
Practice Location
- 120 Briggswood Dr
- Elma, NY 14059-9477
Phone: (716) 432-5113
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1780198416
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Andrew
- Middle Name
- Howard
- Mailing Street Address
- 120 Briggswood Dr
- Mailing City
- Elma
- Mailing State
- NY
- Mailing ZIP Code
- 14059-9477
- Mailing Country
- US
- Practice Street Address
- 120 Briggswood Dr
- Practice City
- Elma
- Practice State
- NY
- Practice ZIP Code
- 14059-9477
- Practice Country
- US
- Practice Phone
- (716) 432-5113
- Enumeration Date
- November 16, 2017
- Last Updated
- July 09, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)