KIMBERLY WAGNER MS OTRL NPI 1861885477

NPI Information

NPI: 1861885477
Provider Name: KIMBERLY WAGNER, MS, OTRL
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
23936 MICHIGAN AVE
DEARBORN, MI
ZIP 48124
Phone: (313) 278-4601
Get Directions

Kimberly Wagner, MS, OTRL is a specialist in Dearborn, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kimberly Wagner, MS, OTRL NPI is 1861885477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23936 MICHIGAN AVE
DEARBORN, MI
ZIP 48124-833
Phone: (313) 278-4601

The enumeration date for this NPI number is 3/7/2015 and was last updated on 7/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		5201001795	MICHIGAN	Yes
2	225X00000X	Occupational Therapist		5201001795	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »