Terry J Wagner in Mountlake Terrace - Massage Therapist

Terry J Wagner - NPI 1386852937

Terry J Wagner is a Massage Therapist in Mountlake Terrace, Washington. Terry J Wagner practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Terry J Wagner is 1386852937. The last update date is 2007-07-08.

Terry J Wagner's current location address is Po Box 673, Mountlake Terrace, Washington. You can contact this provider via phone number 4253484649 and fax number 4253480478. The mailing address for Terry J Wagner is Po Box 673, Mountlake Terrace, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry J Wagner
Address Po Box 673, Mountlake Terrace, Washington
Phone Number 4253484649
Fax Number 4253480478
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1386852937
Provider Enumeration Date 2007-05-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 673
City Mountlake Terrace
State Washington (WA)
Post Code 980430673
Phone Number 4253484649
Fax Number 4253480478

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00018843
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Terry J Wagner

What is the unique identifier code issued to Terry J Wagner by the Centers for Medicare & Medicaid Services?

The Terry J Wagner has been assigned the NPI (National Provider Identifier) 1386852937. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Terry J Wagner?

The Terry J Wagner is physically situated at Po Box 673, in the city of Mountlake Terrace, state of WA, with the postal code 980430673.

What is Terry J Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Terry J Wagner's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386852937 to Terry J Wagner?

The Centers for Medicare & Medicaid Services assigned the 1386852937 to Terry J Wagner on 2007-05-18.

When was the information regarding Terry J Wagner most recently updated?

The details pertaining to the Terry J Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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