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KIMBERLY MARIE WAGNER AT
NPI 1124542980
Specialist/Technologist - Athletic Trainer in Atlanta, GA

Active since August 02, 2017
59 EXECUTIVE PARK S STE 1100, ATLANTA, GA 30329(404) 778-6330(404) 778-6370 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Marie Wagner At NPPES

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

KIMBERLY MARIE WAGNER AT (NPI 1124542980) is an individual athletic trainer provider in Atlanta, Georgia, licensed in Georgia (AT002993) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1124542980
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKIMBERLY MARIE WAGNERCredential: AT
Location Address59 EXECUTIVE PARK S STE 1100Atlanta, GA 30329-2208
Mailing Address8259 Wicker AveSaint John, IN 46373-8878 · (219) 635-6560 · Fax (219) 365-6561
Phone(404) 778-6330
Fax(404) 778-6370
Sole ProprietorYes
Enumeration DateAugust 2, 2017
✔ NPI 1124542980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT002993
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.
59 EXECUTIVE PARK S STE 1100, Atlanta, GA 30329
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Other Identifiers 1

OtherAT002993GA · Georgia Board Of At

Other Providers at the Same Location NPPES 2

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

CHARLES AARON KISTLER IV ATC
Specialist/Technologist (Athletic Trainer)
59 EXECUTIVE PARK S STE 1100
ATLANTA, GA 30329
Dekalb County (404) 778-6330
TIMOTHY RYAN SPELLER ATC
Specialist/Technologist (Athletic Trainer)
59 EXECUTIVE PARK S STE 1100
ATLANTA, GA 30329
Dekalb County (404) 778-6330

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 Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1124542980. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 59 Executive Park S Ste 1100, Atlanta, GA 30329. The listed phone number is (404) 778-6330.

What is Kimberly 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 Kimberly Wagner was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.