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

Kyle Wagner

Individual provider Chiropractor · NPI 1104318310

Kyle Wagner is a Chiropractic in Covington, Washington. Qualified in 2018, 8 years ago. Practices with Pearson Chiropractic PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018

Practice location Address checks out

15610 SE 272nd St Bldg A
Covington, WA 98042-4416
Phone: (253) 638-2424
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH60849715 (WA)

Record details

NPI number1104318310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address15610 Se 272nd St Bldg A, Covington, WA 98042-4416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pearson Chiropractic Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covington