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Dietrich Wagner, ATC
NPI 1083392419 · on the registry since 2023
Practice
- Address
- 1505 Springbrook Dr
Cedar Falls, IA 50613 - Phone
- (515) 664-0171
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
390200000X - Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-23
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 Iowa