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ERIC WAGNER
NPI 1083222905
Massage Therapist in Santa Rosa, CA

Active since July 16, 2020
2462 W 3RD ST, SANTA ROSA, CA 95401(707) 843-3539 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Wagner NPPES

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

ERIC WAGNER (NPI 1083222905) is an individual massage therapist in Santa Rosa, California, licensed in California (82262) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1083222905
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameERIC WAGNER
Location Address2462 W 3RD STSanta Rosa, CA 95401-6425
Mailing Address2462 W 3rd StSanta Rosa, CA 95401-6425 · (707) 843-3539
Phone(707) 843-3539
Sole ProprietorYes
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1083222905 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 CA · 82262
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.
2462 W 3RD ST, Santa Rosa, CA 95401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SOULSTICE SPA LLC
Clinic/Center (Physical Therapy)
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539
COURTNEY GROSS
Massage Therapist
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539
ANDREA REYES
Massage Therapist
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539
TATUM BROWNE
Massage Therapist
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539
ALLISON WARGO
Massage Therapist
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539
NICOLE MCGOVERN
Massage Therapist
2462 W 3RD ST
SANTA ROSA, CA 95401
Sonoma County (707) 843-3539

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 Eric Wagner's NPI number?

The NPI number for Eric Wagner is 1083222905. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Eric Wagner located?

Eric Wagner practices at 2462 W 3rd St, Santa Rosa, CA 95401. The listed phone number is (707) 843-3539.

What is Eric 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 Eric Wagner was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.