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

Mr. Calvin R Wagner Jr, LMT

Individual provider Specialist · NPI 1629249271

Mr. Calvin R Wagner Jr, LMT is a Specialist in Youngstown, Ohio. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

17 N Champion St
Youngstown, OH 44503-1602
Phone: (330) 480-9362
Fax: (330) 480-9407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629249271
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 21, 2008
Last updated in NPPESMarch 21, 2008

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