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KIMBERLY WAGNER MS, OTRL
NPI 1861885477
Specialist in Dearborn, MI

Active since March 07, 2015
23936 MICHIGAN AVE, DEARBORN, MI 48124(313) 278-4601 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Wagner Ms, Otrl NPPES

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

KIMBERLY WAGNER MS, OTRL (NPI 1861885477) is an individual specialist in Dearborn, Michigan, licensed in Michigan (5201001795) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1861885477
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLY WAGNERCredential: MS, OTRL
Location Address23936 MICHIGAN AVEDearborn, MI 48124-1833
Mailing Address15045 Belmont AveAllen Park, MI 48101-1605 · (313) 378-6648
Phone(313) 278-4601
Sole ProprietorNo
Enumeration DateMarch 7, 2015
Last NPPES UpdateJuly 30, 2019
✔ NPI 1861885477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 5201001795
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOccupational TherapistTaxonomy 225X00000X · License 5201001795 (MI)
23936 MICHIGAN AVE, Dearborn, MI 48124
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Other Providers at the Same Location NPPES 5

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

LORI SHAFFER M.A.,CCC-SLP.
Speech-Language Pathologist
23936 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 278-4601
MICHELLE CALILUNG MA, CCC-SLP
Speech-Language Pathologist
23936 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 359-4695
ROSE CAIRO
Speech-Language Pathologist
23936 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 278-4601
KATELYN MARIE SMITH M.A., CCC-SLP
Speech-Language Pathologist
23936 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 278-4601
MS. RACHELLE BIETLER CCC-SLP
Speech-Language Pathologist
23936 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 278-4601

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 1861885477. It was assigned to this individual provider in the NPPES registry on March 7, 2015.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 23936 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 278-4601.

What is Kimberly Wagner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.