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

Kandy Kay Wagner, MT

Individual provider Massage Therapist · NPI 1306166723

Kandy Kay Wagner, MT is a Massage Therapist in St Clair Shores, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

21526 Harper Ave
St Clair Shores, MI 48080
Phone: (586) 242-5729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 332924-00 (MI)

Record details

NPI number1306166723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESJune 8, 2010
Mailing address38815 Lakeshore Drive, Harrison Township, MI 48045