MRS. Erin L Wagner, PTA, LMT

NPI #1245769538 in Hilo, Hawaii

Provider Information

NPI Number: 1245769538
Entity Type: Individual
Name: MRS. Erin L Wagner, PTA, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMT
Enumeration Date: Jun 8, 2017
Last Updated: Jun 8, 2017

Practice Location

Address: 69 RAILROAD AVE STE A4
City: Hilo
State: Hawaii
ZIP Code: 96720-7509
Phone: (808) 339-7861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapy Assistant	225200000X	Primary

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