Individual provider · Type 1 NPI
Kandy Kay Wagner, M.T.
Massage Therapist · St. Clair Shores, MI
NPI number
1306166723
Active
Practice location
21526 Harper Ave
St. Clair Shores, MI 48080
Mailing address
38815 Lakeshore Drive
Harrison Township, MI 48045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 332924-00 (MI) |
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.
Another provider at this address
Other massage therapist providers in St. Clair Shores
- Krystal Marie Capizzo, LMTMassage Therapist St. Clair Shores, MI NPI 1093528424
- Brenda Ann Johnson, LMTMassage Therapist St. Clair Shores, MI NPI 1104640309
- Mary Arnone, L.M.TMassage Therapist St. Clair Shores, MI NPI 1225420821
- Yvette Therese D'aoust, LMPMassage Therapist St. Clair Shores, MI NPI 1255228656
- Tara Arcusa, LMTMassage Therapist St. Clair Shores, MI NPI 1265361422
- Richard T. Saady, LMTMassage Therapist St. Clair Shores, MI NPI 1558276501
- Julie Kathleen Glassco, NCTMMassage Therapist St. Clair Shores, MI NPI 1942554803
- Donald Alter, C.HT., LMTMassage Therapist St. Clair Shores, MI NPI 1942662648
About NPI 1306166723
Kandy Kay Wagner, M.T.'s National Provider Identifier is 1306166723, issued on Jun 8, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jun 8, 2010.