JOHN DANIEL WAGNER LMP NPI 1013044197

NPI Information

  • NPI: 1013044197
  • Provider Name: JOHN DANIEL WAGNER, LMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2315 N PEARL ST STE 10
    PMB 188
    TACOMA, WA
    ZIP 98406
  • Phone: (253) 905-0533

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NPI Details

John Daniel Wagner, LMP is a massage therapist in Tacoma, WA. The provider is 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. John Daniel Wagner, LMP NPI is 1013044197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2315 N PEARL ST STE 10
PMB 188
TACOMA, WA
ZIP 98406-553
Phone: (253) 905-0533
Fax: (253) 752-1122

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA16406WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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