National Provider Identifier

Elisabeth Wagner, PTA

Elisabeth Wagner, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Amherst, NY and a listed phone number of (716) 839-1550.

NPI 1841709425Amherst, NYPhysical Therapy Assistant

Profile Overview

NPI
1841709425
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
September 26, 2017
Last Updated
September 26, 2017

Practice Location

  • 4498 Main St., Suite 24
  • Amherst, NY 14226

Phone: (716) 839-1550

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1841709425
Entity Type
Individual
Last Name
Wagner
First Name
Elisabeth
Credential
PTA
Mailing Street Address
4498 Main St., Suite 24
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 839-1550
Mailing Fax
(716) 839-1696
Practice Street Address
4498 Main St., Suite 24
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226
Practice Country
US
Practice Phone
(716) 839-1550
Practice Fax
(716) 839-1696
Enumeration Date
September 26, 2017
Last Updated
September 26, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)