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Austin Wagner, ATC
NPI 1083066112 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6300 James S Mcdonnell Blvd
Saint Louis, MO 63134 - Phone
- (314) 232-8702
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri