person
James Blake Wagner, PT
Orthopedic Physical Therapist in Sherwood, Arkansas
NPI 1306804448

James Blake Wagner is a Orthopedic Physical Therapist based in Sherwood, AR and is specialized in Orthopedic. James Blake Wagner practices in Sherwood, AR and has the professional credentials of PT. The NPI Number for James Blake Wagner is 1306804448 and holds a License No. PT2565 (Arkansas).

The current practice location address for James Blake Wagner is 1525 Country Club Rd, Sherwood, AR and can be reached out via phone at 501-978-3135 and via fax at 501-978-3138.

Location: 1525 Country Club Rd, Sherwood, AR, 72120-5076
person
Provider Profile Details
NPI Number
1306804448
Provider Name
James Blake Wagner
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1525 Country Club Rd, Sherwood, AR, 72120-5076
Phone Number
501-978-3135
Fax Number
501-978-3138
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5W797C153 01 AR AR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1525 Country Club Rd
City
State
Zip
72120-5076
Phone Number
501-978-3135
Fax Number
501-978-3138
person
Provider Business Mailing Address Details
Address
1525 Country Club Rd
City
State
Zip
72120-5076
Phone Number
501-978-3135
Fax Number
501-978-3138
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
License No.
PT2565 (Arkansas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
PT2565 (Arkansas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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