Individual provider · Type 1 NPI

Jay Frederick Wagoner, DC

Chiropractor · State College, PA

NPI number 1952709693 Active

Practice location

454 Rolling Ridge Dr, Suite 4
State College, PA 16801-7696

Call (814) 954-4182 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC010942 (PA)

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 1952709693

Jay Frederick Wagoner, DC's National Provider Identifier is 1952709693, issued on Dec 11, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in State College, PA. The record was last updated on Feb 28, 2017.