LISA WAGONER P.T.A.
NPI 1508124199
Physical Therapy Assistant in Medford, OR
About Lisa Wagoner P.t.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA WAGONER P.T.A. (NPI 1508124199) is an individual physical therapy assistant in Medford, Oregon, licensed in Oregon (8785) and active in the NPI registry since May 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.
MEDFORD, OR 97504
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 Lisa Wagoner's NPI number?
The NPI number for Lisa Wagoner is 1508124199. It was assigned to this individual provider in the NPPES registry on May 2, 2012.
Where is Lisa Wagoner located?
Lisa Wagoner practices at 400 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 613-6505.
What is Lisa Wagoner'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 Lisa Wagoner was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.