Individual provider · Type 1 NPI

Angela Wagner

Massage Therapist · Herrin, IL

NPI number 1437565025 Active

Practice location

3313 Patriot Ct
Herrin, IL 62948-3782

Fax (618) 993-2774

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227010956 (IL)

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 1437565025

Angela Wagner's National Provider Identifier is 1437565025, issued on Jul 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Herrin, IL. The record was last updated on Jul 3, 2014.