Individual provider · Type 1 NPI

Kyle Wagner

Chiropractor · Covington, WA

NPI number 1104318310 Active

Practice location

15610 SE 272nd St Bldg A
Covington, WA 98042-4416

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH60849715 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1104318310

Kyle Wagner's National Provider Identifier is 1104318310, issued on Jun 4, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Covington, WA. The record was last updated on Mar 25, 2024.