Individual provider · Type 1 NPI

Marissa Sue Wagner

Massage Therapist · Angola, IN

NPI number 1649017492 Active

Practice location

2655 N State Road 127
Angola, IN 46703

Mailing address

408 Fox Road
Coldwater, MI 49036

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1649017492

Marissa Sue Wagner's National Provider Identifier is 1649017492, issued on Jul 10, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Angola, IN. The record was last updated on Jul 10, 2024.