MR. TERRY J WAGNER (NPI# 1386852937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386852937 |
| Entity Type | Individual |
| Full Name | MR. TERRY J WAGNER |
| Credential | LMP |
| Practice Address |
2615 W Casino Rd Suite 1a Everett WA 98204-2124 |
| Mailing Address |
Po Box 673 Mountlake Terrace WA 98043-0673 |
| Practice Telephone | 4253484649 |
| Practice Fax Number | 4253480478 |
| Mailing Telephone | 4253484649 |
| Mailing Fax Number | 4253480478 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00018843 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574834 | Terry John Wagner | Family Medicine | 5655 Hudson Dr Ste 303, Hudson, OH 44236-4454 | 2005-08-09 |
| 1134247802 | Terry Wagner | Preventive Medicine | 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 | 2007-03-27 |
| Street Address |
2615 W CASINO RD SUITE 1A |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174731749 | North Sound Massage, LLC | Massage Therapist | 2615 W Casino Rd, Suite 1a, Everett, WA 98204-2124 | 2007-05-18 |
| 1316368210 | Dustin Rey Williams | Massage Therapist | 2615 W Casino Rd, 3h, Everett, WA 98204-2124 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170054 | Jamie Rose Stolp | Massage Therapist | 4626 Fowler Ave, Everett, WA 98203-2719 | 2020-10-08 |
| 1477197580 | Michael L Cook | Massage Therapist | 13616 56th Ave Se, Everett, WA 98208-9480 | 2019-10-31 |
| 1184287997 | Yanmei Holland | Massage Therapist | 927 128th St Sw Ste B, Everett, WA 98204-6315 | 2019-04-17 |
| 1477033397 | Aimee Elizabeth Huff | Massage Therapist | 10315 19th Ave Se Ste 106, Everett, WA 98208-4268 | 2018-08-20 |
| 1487131033 | Jazmin Adai Leader | Massage Therapist | 2720 Fulton St Unit A, Everett, WA 98201-3731 | 2018-07-26 |
| 1265944045 | Rachel Pemble-fahner | Massage Therapist | 205 E Casino Rd Ste B7, Everett, WA 98208-2600 | 2017-11-01 |
| 1659883817 | Lorena Alehly Kaiser | Massage Therapist | 2804 Grand Ave Ste 307a, Everett, WA 98201-3586 | 2017-10-27 |
| 1306356977 | Nataliya I Kerpan | Massage Therapist | 2803 Grand Ave, Everett, WA 98201-3417 | 2017-10-09 |
| 1013430693 | Cassidy Doohan | Massage Therapist | 15104 52nd Ave Se, Everett, WA 98208-8936 | 2017-07-25 |
| 1326578311 | Samantha Lee Giguere | Massage Therapist | 459 Broadway Ste 204, Everett, MA 02149-3614 | 2017-06-13 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.