Tara Lyn Vanwagner, L.M.P

NPI #1215054432 in Wenatchee, Washington

Provider Information

NPI Number: 1215054432
Entity Type: Individual
Name: Tara Lyn Vanwagner, L.M.P
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.P
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1601 N WENATCHEE AVE
City: Wenatchee
State: Washington
ZIP Code: 98801-1158
Phone: (509) 667-2027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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