JONATHAN WAGGONNER PTA, CMT
NPI 1962201558
Massage Therapist in Redlands, CA

Active since March 07, 2025
1455 W PARK AVE, REDLANDS, CA 92373(909) 793-2225 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Waggonner Pta, Cmt NPPES

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

JONATHAN WAGGONNER PTA, CMT (NPI 1962201558) is an individual massage therapist in Redlands, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1962201558
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJONATHAN WAGGONNERCredential: PTA, CMT
Location Address1455 W PARK AVERedlands, CA 92373-8178
Mailing Address1455 W Park AveRedlands, CA 92373-8178 · (909) 793-2225
Sole ProprietorNo
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1962201558 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
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.
1455 W PARK AVE, Redlands, CA 92373

Other Providers at the Same Location NPPES 10

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

Massage Therapist
1455 W PARK AVE
REDLANDS, CA 92373
Naturopath
1455 W PARK AVE
REDLANDS, CA 92373
Massage Therapist
1455 W PARK AVE
REDLANDS, CA 92373
Dietitian, Registered
1455 W PARK AVE
REDLANDS, CA 92373
Massage Therapist
1455 W PARK AVE
REDLANDS, CA 92373
Massage Therapist
1455 W PARK AVE
REDLANDS, CA 92373
Chiropractor
1455 W PARK AVE, SUITE A
REDLANDS, CA 92373
Massage Therapist
1455 W PARK AVE
REDLANDS, CA 92373

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 Jonathan Waggonner's NPI number?

The NPI number for Jonathan Waggonner is 1962201558. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Jonathan Waggonner located?

Jonathan Waggonner practices at 1455 W Park Ave, Redlands, CA 92373. The listed phone number is (909) 793-2225.

What is Jonathan Waggonner'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 Jonathan Waggonner was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.