OrganizationActive
Alta Wellness LLC
NPI 1922283175 · Prosthetic/Orthotic Supplier · San Antonio, TX
Provider details
- NPI number
- 1922283175
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Willis Wagner, Owner(210) 930-5505
Specialties & taxonomies
Suppliers
Practice location
7959 Fredericksburg Rd
Suite 139
San Antonio, TX 78229-3430
Phone: (210) 615-3668
Approximate (ZIP-level) locationGet directions
Mailing address
602 Alta Ave
San Antonio, TX 78209-4432
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.