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

Shinnayha Nicole Wagner

Individual provider Occupational Therapy Assistant · NPI 1649771445

Shinnayha Nicole Wagner is an Occupational Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

13220 S 48th St Apt 1112
Phoenix, AZ 85044-5013
Phone: (928) 551-1020
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 7346 (AZ)

Record details

NPI number1649771445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESJune 16, 2018

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