Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY'ARA WAGNER
ActiveTY'ARA WAGNER is a Massage Therapist healthcare provider located in LINWOOD, North Carolina. NPI 1588250351 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LINWOOD, NC
Registration Details
- NPI Number
- 1588250351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2020 (5.6533130727984 yrs)
- Last Updated
- Jul 29, 2024
- License
-
17320 (NC)
Practice Information
- Address
-
100 COLUMBIA DRLINWOOD, NC, 272999711Browse NC providers · Browse ZIP 27299
- Phone
- 9802672965
- 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.