Most Relevant Information
Provider Data
| NPI Number: | 1003677246 |
| Provider Name: | JILL FRANCENE WAGNER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 00004042 |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 01/16/2024 |
Provider Practice Location
12040 NE 128TH ST # MS -103
KIRKLAND
WA
980343013
Practice Location Phone/Fax
| Phone: | 4255314615 |
| Fax: |
Provider Mailing Location
27818 NE 141ST ST
DUVALL
WA
980196307
Provider Mailing Phone/Fax
| Phone: | 2066505675 |
| Fax: |