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KAYLEIGH WAGNER LAT, ATC

Individual Provider (NPI-1) Active

Preventive Medicine, Sports Medicine

Provider Information

NPI Number
1316594674
Provider Type
Individual Provider (NPI-1)
Credentials
LAT, ATC
Status
Active

Contact & Location

Address
501 W 12TH ST, ERIE, PA, 165011536
Phone
(814) 455-3719

Specialties & Taxonomies

Preventive Medicine, Sports Medicine Primary License: PA #RT006112

All Addresses

MAILING

1443 GREENFIELD DR

ERIE, PA, 165092912

(814) 602-9206

LOCATION

501 W 12TH ST

ERIE, PA, 165011536

(814) 455-3719