MICHAEL TANNER WAGNER
NPI 1063272532
Massage Therapist in Haiku, HI

Active since March 20, 2024

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Tanner Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL TANNER WAGNER (NPI 1063272532) is an individual massage therapist in Haiku, Hawaii, licensed in Hawaii (MAT-12842) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1063272532
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMICHAEL TANNER WAGNER
Location Address718 HAIKU RDHaiku, HI 96708-5846
Mailing Address15950 Haleakala HwyKula, HI 96790-8015 · (435) 669-5171
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1063272532 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 HI · MAT-12842
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.

718 HAIKU RD, Haiku, HI 96708

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
718 HAIKU RD
HAIKU, HI 96708
Counselor (Mental Health)
718 HAIKU RD
HAIKU, HI 96708
Acupuncturist
718 HAIKU RD
HAIKU, HI 96708
Massage Therapist
718 HAIKU RD
HAIKU, HI 96708
Massage Therapist
718 HAIKU RD
HAIKU, HI 96708
Massage Therapist
718 HAIKU RD
HAIKU, HI 96708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1063272532. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Michael Wagner located?

Michael Wagner practices at 718 Haiku Rd, Haiku, HI 96708. The listed phone number is (435) 669-5171.

What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.