Myranda Mary Wagner
Myranda Mary Wagner is a Massage Therapist in Ellensburg, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2016
Practice location Address checks out
109 S Water St Ste 2Ellensburg, WA 98926-3061
Phone: (509) 962-2225
Fax: (509) 962-2270
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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 MA60440395 (WA) |
|---|
Record details
| NPI number | 1811340029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2016 |
| Last updated in NPPES | July 22, 2016 |
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