KANDY KAY WAGNER M.T. NPI 1306166723

NPI Information

  • NPI: 1306166723
  • Provider Name: KANDY KAY WAGNER, M.T.
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 21526 HARPER AVE
    ST. CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 242-5729

Map and Directions

Get Directions

NPI Details

Kandy Kay Wagner, M.T. is a massage therapist in St. Clair Shores, MI. 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. Kandy Kay Wagner, M.T. NPI is 1306166723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21526 HARPER AVE
ST. CLAIR SHORES, MI
ZIP 48080
Phone: (586) 242-5729

The enumeration date for this NPI number is 6/8/2010 and was last updated on 6/8/2010.

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 Therapist332924-00MICHIGANYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.