Brad Wagner

Athletic Trainer · Florence, KY

Individual Active NPI

NPI number 1457985053

Practice location

4706 Aero Pkwy
Florence, KY 41042-2994
Phone
(513) 431-9305

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NPI record

NPI
1457985053
Entity type
Individual (Type 1)
Enumeration date
February 24, 2020
Last updated
February 24, 2020
Certified
February 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT1725 KY

About Brad Wagner

Brad Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4706 Aero Pkwy, Florence, KY 41042-2994. The NPI number 1457985053 was assigned on February 24, 2020 and the record was last updated on February 24, 2020.

Brad Wagner lists a license in the registry: #AT1725 (KY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brad Wagner?

The NPI number is 1457985053.

What is the phone number of Brad Wagner?

The phone number listed for the practice location is (513) 431-9305.

Where is Brad Wagner located?

4706 Aero Pkwy, Florence, KY 41042-2994.

What is the taxonomy code for Brad Wagner?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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