IndividualActive
Brad Wagner
NPI 1457985053 · Athletic Trainer · Florence, KY
Provider details
- NPI number
- 1457985053
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT1725 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4706 Aero Pkwy
Florence, KY 41042-2994
Phone: (513) 431-9305
Approximate (ZIP-level) locationGet directions
Mailing address
4706 Aero Pkwy
Florence, KY 41042-2994
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.