Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athena Wagner

Individual provider Massage Therapist · NPI 1770305617

Athena Wagner is a Massage Therapist in Leesburg, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

821 S King St Ste B
Leesburg, VA 20175-3914
Phone: (571) 249-2344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019019362 (VA)

Record details

NPI number1770305617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address67 Willow Lake Ln # B1, Bluemont, VA 20135-5252

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