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Angela Wagner
Massage Therapist in Herrin, Illinois
NPI 1437565025

Angela Wagner is a Massage Therapist based in Herrin, IL. Angela Wagner practices in Herrin, IL. The NPI Number for Angela Wagner is 1437565025 and holds a License No. 227010956 (Illinois).

The current practice location address for Angela Wagner is 3313 Patriot Ct, Herrin, IL and can be reached out via phone at 618-993-9910 and via fax at 618-993-2774.

Location: 3313 Patriot Ct, Herrin, IL, 62948-3782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437565025
Provider Name
Angela Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3313 Patriot Ct, Herrin, IL, 62948-3782
Phone Number
618-993-9910
Fax Number
618-993-2774
Provider Enumeration Date
07/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3313 Patriot Ct
City
Herrin
State
Illinois
Zip
62948-3782
Phone Number
618-993-9910
Fax Number
618-993-2774
person
Provider Business Mailing Address Details
Address
3313 Patriot Ct
City
Herrin
State
Illinois
Zip
62948-3782
Phone Number
618-993-9910
Fax Number
618-993-2774
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227010956 (Illinois)
Definition
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.
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