Individual
DR. KELLIE MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
1223 MADISON ST, BEAVER DAM, WI 53916-2629
(920) 885-4750
Mailing address
5002 AUTUMN LEAF LN APT 210, MADISON, WI 53704-8654
(414) 416-2291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11507-24
WI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us