Michael Tanner Wagner

NPI #1063272532 in Haiku, Hawaii

Provider Information

NPI Number
1063272532
Entity Type
Individual
Name
Michael Tanner Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Enumeration Date
Mar 20, 2024
Last Updated
Mar 20, 2024

Practice Location

Address
718 HAIKU RD
City
Haiku
State
Hawaii
ZIP Code
96708-5846
Phone
(435) 669-5171

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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