Individual provider · Type 1 NPI

Calvin R. Wagner JR, LMT

Specialist · Youngstown, OH

NPI number 1629249271 Active

Practice location

17 N Champion St
Youngstown, OH 44503-1602

Call (330) 480-9362 Map

Fax (330) 480-9407

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629249271

Calvin R. Wagner JR, LMT's National Provider Identifier is 1629249271, issued on Mar 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Youngstown, OH. The record was last updated on Mar 21, 2008.