MR. TERRY J WAGNER LMP
NPI 1386852937
Massage Therapist in Everett, WA
Active since May 18, 2007
About Mr. Terry J Wagner Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TERRY J WAGNER LMP (NPI 1386852937) is an individual massage therapist in Everett, Washington, licensed in Washington (MA00018843) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1386852937
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. TERRY J WAGNERCredential: LMP
Location Address1902 120TH PL SE STE 103Everett, WA 98208-6292
Mailing AddressPo Box 663Mountlake Terrace, WA 98043-0663 · (425) 773-2078
Phone(425) 773-2078
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1386852937 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 · MA00018843
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.
1902 120TH PL SE STE 103, Everett, WA 98208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386852937, enumerated as an "individual" on May 18, 2007.
The provider is located at 1902 120TH PL SE STE 103 EVERETT, WA 98208 and the phone number is (425) 773-2078.
Massage Therapist with taxonomy code 225700000X.
