Individual provider · Type 1 NPI

Walter W. Wagner, DC

Chiropractor · West Jordan, UT

NPI number 1396894622 Active

Practice location

6271 Dixie Dr Ste 12
West Jordan, UT 84084-1002

Call (801) 966-6200 Map

Fax (801) 966-6424

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X291077-1202 (UT)

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 1396894622

Walter W. Wagner, DC's National Provider Identifier is 1396894622, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Jordan, UT. The record was last updated on Jul 8, 2007.