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KAYLEIGH WAGNER LAT, ATC
NPI 1316594674
Preventive Medicine - Sports Medicine in Erie, PA

Active since August 21, 2019

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kayleigh Wagner Lat, Atc NPPES

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

KAYLEIGH WAGNER LAT, ATC (NPI 1316594674) is an individual sports medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (RT006112) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1316594674
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameKAYLEIGH WAGNERCredential: LAT, ATC
Location Address501 W 12TH STErie, PA 16501-1536
Mailing Address1443 Greenfield DrErie, PA 16509-2912 · (814) 602-9206
Phone(814) 455-3719
Sole ProprietorNo
Enumeration DateAugust 21, 2019
✔ NPI 1316594674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in PA · RT006112
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
501 W 12TH ST, Erie, PA 16501
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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.

MEGAN ELIZABETH GOODRICH MA, ATC
Specialist/Technologist (Athletic Trainer)
501 W 12TH ST
ERIE, PA 16501
Erie County (814) 455-3719

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 Kayleigh Wagner's NPI number?

The NPI number for Kayleigh Wagner is 1316594674. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Kayleigh Wagner located?

Kayleigh Wagner practices at 501 W 12th St, Erie, PA 16501. The listed phone number is (814) 455-3719.

What is Kayleigh Wagner's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Kayleigh Wagner was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.