Wagoner Chiropractic INC

NPI #1700265295 in State College, Pennsylvania

Provider Information

NPI Number: 1700265295
Entity Type: Organization
Organization Name: Wagoner Chiropractic INC
Primary Specialty: Chiropractor
Enumeration Date: May 29, 2015
Last Updated: Jun 24, 2015

Practice Location

Address: 454 ROLLING RIDGE DR
Address 2: SUITE 4
City: State College
State: Pennsylvania
ZIP Code: 16801-7696
Phone: (814) 954-4182

Authorized Official

Name: DR. KAYLA ELLEN WAGONER, D.C.
Title: OWNER/SECRETARY
Phone: (814) 954-4182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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