James Blake Wagner
Physical Therapist - Sports Physical Therapist - Orthopedic
1525 Country Club Rd
Sherwood
, Arkansas 72120-5076
James Blake Wagner
Physical Therapist - Sports Physical Therapist - Orthopedic
1525 Country Club Rd
Sherwood
, Arkansas 72120-5076
(501) 978-3138
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About
Features
Specialties
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- James Blake Wagner
- 1525 Country Club Rd
- Sherwood, AR
- Zip : 72120-5076
- Fax : (501) 978-3138
- Phone : (501) 978-3135
Second Address
- James Blake Wagner
- 1525 Country Club Rd
- Sherwood, AR
- Zip : 72120-5076
- Fax : (501) 978-3138
- Phone : (501) 978-3135
Reviews
FAQs
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What type of doctor is James Blake Wagner
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Is James Blake Wagner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251S0007X | Physical Therapist - Sports | PT2565 | AR |
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT2565 | AR |
National Provider Identifier
| NPI | 1306804448 |
|---|---|
| Provider Name | James Blake Wagner |
| First Address | Sherwood, AR 72120-5076 |
| Second Address | Sherwood, AR 72120-5076 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 11/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5W797C153 | AR BLUE CROSS BLUE SHIELD (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.