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

Michael Tanner Wagner

Individual provider Massage Therapist · NPI 1063272532

Michael Tanner Wagner is a Massage Therapist in Haiku, Hawaii. Licensed in Hawaii. Registered with an NPI since 2024.

Licensed in
HI
In the registry since
2024

Practice location Address checks out

718 Haiku Rd
Haiku, HI 96708-5846
Phone: (435) 669-5171
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAT-12842 (HI)

Record details

NPI number1063272532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address15950 Haleakala Hwy, Kula, HI 96790-8015

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