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

Jay Frederick Wagoner, DC

Individual provider Chiropractor · NPI 1952709693

Jay Frederick Wagoner, DC is a Chiropractor in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

454 Rolling Ridge Dr Ste 4
State College, PA 16801-7696
Phone: (814) 954-4182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC010942 (PA)

Record details

NPI number1952709693
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESFebruary 28, 2017
Mailing address454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696

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