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NPI Profile for KANDY K WAGNER in SAINT CLAIR SHORES, MI.
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI Number | 1306166723 |
|
| Status | Active | |
| Credentials | M.T. | |
| Entity | Individual | |
| Enumeration date | 06/08/2010 | |
| Last updated | 06/08/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KANDY K WAGNER
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KANDY K WAGNER, M.T.