JACK A WAGSTROM
NPI 1104188309
Physical Therapy Assistant in North Canton, OH
About Jack A Wagstrom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK A WAGSTROM (NPI 1104188309) is an individual physical therapy assistant in North Canton, Ohio, licensed in Ohio (PTA. 1596) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses
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.
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 Jack Wagstrom's NPI number?
The NPI number for Jack Wagstrom is 1104188309. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Jack Wagstrom located?
Jack Wagstrom practices at 339 E Maple St, North Canton, OH 44720. The listed phone number is (330) 498-8200.
What is Jack Wagstrom's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jack Wagstrom was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.