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JEFFREY WAGNER
NPI 1003312117
Clinical Exercise Physiologist in Meridian, ID

Active since April 05, 2018
3525 E LOUISE DR, MERIDIAN, ID 83642(208) 706-7050 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY WAGNER (NPI 1003312117) is an individual clinical exercise physiologist provider in Meridian, Idaho and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1003312117
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameJEFFREY WAGNER
Location Address3525 E LOUISE DRMeridian, ID 83642-6302
Mailing Address3525 E Louise DrMeridian, ID 83642-6302 · (208) 706-7050
Phone(208) 706-7050
Sole ProprietorNo
Enumeration DateApril 5, 2018
✔ NPI 1003312117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
3525 E LOUISE DR, Meridian, ID 83642
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANNE MARIE KUHLMEIER SLP/CCC
Speech-Language Pathologist
3525 E LOUISE DR, SUITE 255
MERIDIAN, ID 83642
Ada County (208) 489-5099
KATHERINE A ASSMUS PA
Physician Assistant
3525 E LOUISE DR, SUITE 400
MERIDIAN, ID 83642
Ada County (208) 322-1680
CAROLYN BLAISDELL MS OTR/L
Occupational Therapist
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 489-5099
JENNIFER M GOODHEART
Registered Nurse (Cardiac Rehabilitation)
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
LEANN LESLIE MORA LCSW
Social Worker (Clinical)
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
ANNIE SEARCY M.S. CCC-SLP
Speech-Language Pathologist
3525 E LOUISE DR, SUITE 255
MERIDIAN, ID 83642
Ada County (208) 489-5099
JOSELYN N READ RD, LD
Dietitian, Registered
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
DR. JENNIFER T SHALZ MD
Internal Medicine
3525 E LOUISE DR, SUITE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1003312117. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Jeffrey Wagner located?

Jeffrey Wagner practices at 3525 E Louise Dr, Meridian, ID 83642. The listed phone number is (208) 706-7050.

What is Jeffrey Wagner's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.