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DIETRICH B WAGNER ATC
NPI 1083392419
Specialist/Technologist - Athletic Trainer in Cedar Falls, IA

Active since July 06, 2023
1505 SPRINGBROOK DR, CEDAR FALLS, IA 50613(515) 664-0171 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2025, Jul 6, 2023 (2 updates tracked since 2023).

About Dietrich B Wagner Atc NPPES

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

DIETRICH B WAGNER ATC (NPI 1083392419) is an individual athletic trainer provider in Cedar Falls, Iowa and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1083392419
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDIETRICH B WAGNERCredential: ATC
Location Address1505 SPRINGBROOK DRCedar Falls, IA 50613-4994
Mailing Address4133 64th StUrbandale, IA 50322-2705 · (515) 664-0171
Phone(515) 664-0171
Sole ProprietorNo
Enumeration DateJuly 6, 2023
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1083392419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1505 SPRINGBROOK DR, Cedar Falls, IA 50613
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Other Providers at the Same Location NPPES

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

JAMIE STRAKA
Student in an Organized Health Care Education/Training Program
1505 SPRINGBROOK DR
CEDAR FALLS, IA 50613
Black Hawk County (563) 258-1320

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 Dietrich Wagner's NPI number?

The NPI number for Dietrich Wagner is 1083392419. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Dietrich Wagner located?

Dietrich Wagner practices at 1505 Springbrook Dr, Cedar Falls, IA 50613. The listed phone number is (515) 664-0171.

What is Dietrich Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Dietrich Wagner was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.