John Daniel Wagner
Massage Therapist
2315 N Pearl St Ste 10 Pmb 188
Tacoma
, Washington 98406-2553
John Daniel Wagner
Massage Therapist
2315 N Pearl St Ste 10 Pmb 188
Tacoma
, Washington 98406-2553
(253) 752-1122
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- John Daniel Wagner
- 2315 N Pearl St Ste 10 Pmb 188
- Tacoma, WA
- Zip : 98406-2553
- Fax : (253) 752-1122
- Phone : (253) 905-0533
Second Address
- John Daniel Wagner
- 2315 N Pearl St Ste 10 Pmb 188
- Tacoma, WA
- Zip : 98406-2553
- Fax : (253) 752-1122
- Phone : (253) 905-0533
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA16406 | WA |
National Provider Identifier
| NPI | 1013044197 |
|---|---|
| Provider Name | John Daniel Wagner |
| First Address | Tacoma, WA 98406-2553 |
| Second Address | Tacoma, WA 98406-2553 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 08/07/2007 |
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.