JOHN DANIEL WAGNER LMP
NPI 1013044197
Massage Therapist in Tacoma, WA
Active since February 27, 2007
2315 N PEARL ST STE 10, PMB 188, TACOMA, WA 98406(253) 905-0533(253) 752-1122 Get Directions Write a Review
About John Daniel Wagner Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DANIEL WAGNER LMP (NPI 1013044197) is an individual massage therapist in Tacoma, Washington, licensed in Washington (MA16406) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1013044197
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJOHN DANIEL WAGNERCredential: LMP
Location Address2315 N PEARL ST STE 10, PMB 188Tacoma, WA 98406-2553
Mailing Address2315 N Pearl St Ste 10, Pmb 188Tacoma, WA 98406-2553 · (253) 905-0533 · Fax (253) 752-1122
Phone(253) 905-0533
Fax(253) 752-1122
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 7, 2026
✔ NPI 1013044197 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA16406
Definition
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.
2315 N PEARL ST STE 10, Tacoma, WA 98406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013044197, enumerated as an "individual" on February 27, 2007.
The provider is located at 2315 N PEARL ST STE 10 PMB 188 TACOMA, WA 98406 and the phone number is (253) 905-0533.
Massage Therapist with taxonomy code 225700000X.
