Wagner, Jacklyn Marie

Wagner, Jacklyn Marie is an individual health care provider with primary practice located at 36000 Darnall Loop Carl R. Darnall Army Medical Center, Fort Hood TX 76544-5095. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagner, Jacklyn Marie can be contacted via phone (254) 286-7326.

Contact Information

Primary practice address
36000 Darnall Loop Carl R. Darnall Army Medical Center Fort Hood TX 76544-5095
Phone: (254) 286-7326
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5423 Maine

Profile Details

NPI number 1659745073
LBN Legal business name Wagner, Jacklyn Marie
Credentials PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2015
Last updated Oct 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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