OrganizationActive
Alta Wellness LLC
NPI 1811221468 · Prosthetic/Orthotic Supplier · San Antonio, TX
Provider details
- NPI number
- 1811221468
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Willis Wagner, Owner(210) 930-5505
Specialties & taxonomies
Suppliers
Practice location
1201 N Loop 1604 W
Suite 117
San Antonio, TX 78258-4597
Phone: (210) 493-3338
Approximate (ZIP-level) locationGet directions
Mailing address
602 Alta Ave
San Antonio, TX 78209-4432
Other names (DBA / former)
- Doing business as
- Foot Solutions
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2010-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.