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

Ty'Ara Wagner

Individual provider Massage Therapist · NPI 1588250351

Ty'Ara Wagner is a Massage Therapist in Linwood, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

100 Columbia Dr
Linwood, NC 27299-9711
Phone: (980) 267-2965
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17320 (NC)

Record details

NPI number1588250351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024