Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANDY KAY WAGNER, M.T.
Active Sole ProprietorKANDY KAY WAGNER, M.T. is a Massage Therapist healthcare provider located in ST. CLAIR SHORES, Michigan. NPI 1306166723 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ST. CLAIR SHORES, MI
Registration Details
- NPI Number
- 1306166723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2010 (16.157146402284 yrs)
- Last Updated
- Jun 8, 2010
- License
-
332924-00 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21526 HARPER AVEST. CLAIR SHORES, MI, 48080Browse MI providers · Browse ZIP 48080
- Phone
- 5862425729
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.