Individual provider · Type 1 NPI

Michael Tanner Wagner

Massage Therapist · Haiku, HI

NPI number 1063272532 Active

Practice location

718 Haiku Rd
Haiku, HI 96708-5846

Call (435) 669-5171 Map

Mailing address

15950 Haleakala Hwy
Kula, HI 96790-8015

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT-12842 (HI)

Massage Therapist: 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.

6 other providers at this address

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About NPI 1063272532

Michael Tanner Wagner's National Provider Identifier is 1063272532, issued on Mar 20, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Haiku, HI. The record was last updated on Mar 20, 2024.