IndividualActive
Laura Wagner
NPI 1679079719 · Clinical Exercise Physiologist · Meridian, ID
Provider details
- NPI number
- 1679079719
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Phone: (208) 706-7050
Approximate (ZIP-level) locationGet directions
Mailing address
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 2018-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.