Alisa Tabatha Wagner is a Mc Farland, Wisconsin based therapist who is specialized in Occupational Therapy. Active license number of Alisa Tabatha Wagner is 4056-026 for Occupational Therapy in Wisconsin. Her current practice location is 5910 Red Oak Trl, Mc Farland. Patients can reach her at 608-217-9924. Alisa Tabatha Wagner is OTR in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1710121793.
Alisa Tabatha Wagner provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Alisa Tabatha Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Alisa Tabatha Wagner |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR |
| Practice Address: | 5910 Red Oak Trl, Mc Farland,
Wisconsin, 53558-8828 |
| Phone: | 608-217-9924 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710121793 |
| NPI Enumeration Date: | 22 Apr, 2009 |
| NPI Last Update On: | 22 Apr, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alisa Tabatha Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 4056-026 | Occupational Therapy | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Alisa Tabatha Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 225X00000X | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Alisa Tabatha Wagner
5910 Red Oak Trl,
Mc Farland, Wisconsin |
| Zip: | 53558-8828 |
| Phone Number: | 608-217-9924 |
Patients can reach Alisa Tabatha Wagner at
5910 Red Oak Trl, Mc Farland, Wisconsin or can
call to book an appointment on 608-217-9924.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.