Individual
DR. BRETT RAYMOND WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1157 COLUMBUS PIKE STE 10, DELAWARE, OH 43015-2713
(740) 513-4595
(740) 217-1016
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018640
OH
2251X0800X
Orthopedic Physical Therapist
PT32839
FL
Other
Enumeration date
10/16/2017
Last updated
01/02/2026
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