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KANDY KAY WAGNER M.T.
NPI 1306166723
Massage Therapist in St. Clair Shores, MI

Active since June 08, 2010
21526 HARPER AVE, ST. CLAIR SHORES, MI 48080(586) 242-5729 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kandy Kay Wagner M.t. NPPES

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

KANDY KAY WAGNER M.T. (NPI 1306166723) is an individual massage therapist in St. Clair Shores, Michigan, licensed in Michigan (332924-00) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1306166723
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKANDY KAY WAGNERCredential: M.T.
Location Address21526 HARPER AVESt. Clair Shores, MI 48080
Mailing Address38815 Lakeshore DriveHarrison Township, MI 48045 · (586) 242-5729
Phone(586) 242-5729
Sole ProprietorYes
Enumeration DateJune 8, 2010
✔ NPI 1306166723 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 MI · 332924-00
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.
21526 HARPER AVE, St. Clair Shores, MI 48080
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Other Providers at the Same Location NPPES

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

EXODUS HAIR & NAIL STUDIO LLC
Massage Therapist
21526 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 242-5729

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 Kandy Wagner's NPI number?

The NPI number for Kandy Wagner is 1306166723. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Kandy Wagner located?

Kandy Wagner practices at 21526 Harper Ave, St. Clair Shores, MI 48080. The listed phone number is (586) 242-5729.

What is Kandy 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 Kandy Wagner was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.