Search › Arkansas › 225100000X
Ethan Wagner, DPT
NPI 1104640879 · on the registry since 2024
Practice
- Address
- 20320 I 30 # 190
Benton, AR 72019 - Phone
- (501) 500-8188
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-11
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 Arkansas