Individual provider · Type 1 NPI

Eric Wagner

Massage Therapist · Santa Rosa, CA

NPI number 1083222905 Active

Practice location

2462 W 3rd St
Santa Rosa, CA 95401-6425

Call (707) 843-3539 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X82262 (CA)

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.

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About NPI 1083222905

Eric Wagner's National Provider Identifier is 1083222905, issued on Jul 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 16, 2020.