BETHANY WAGENBACH PTA
NPI 1801460266
Physical Therapy Assistant in Peoria, IL
About Bethany Wagenbach Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY WAGENBACH PTA (NPI 1801460266) is an individual physical therapy assistant in Peoria, Illinois, licensed in Illinois (160.009110) and active in the NPI registry since May 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
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 Bethany Wagenbach's NPI number?
The NPI number for Bethany Wagenbach is 1801460266. It was assigned to this individual provider in the NPPES registry on May 19, 2021.
Where is Bethany Wagenbach located?
Bethany Wagenbach practices at 6809 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 981-8810.
What is Bethany Wagenbach'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 Bethany Wagenbach was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.