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Ty'ara Wagner
Massage Therapist in Mint Hill, North Carolina
NPI 1588250351

Ty'ara Wagner is a Massage Therapist based in Mint Hill, NC. Ty'ara Wagner practices in Mint Hill, NC. The NPI Number for Ty'ara Wagner is 1588250351 and holds a License No. 17320 (North Carolina).

The current practice location address for Ty'ara Wagner is 4732 Lebanon Rd Ste D, Mint Hill, NC and can be reached out via phone at 704-763-2059.

Location: 4732 Lebanon Rd Ste D, Mint Hill, NC, 28227-9112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588250351
Provider Name
Ty'ara Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
4732 Lebanon Rd Ste D, Mint Hill, NC, 28227-9112
Phone Number
704-763-2059
Fax Number
Provider Enumeration Date
12/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4732 Lebanon Rd Ste D
City
Mint Hill
State
North Carolina
Zip
28227-9112
Phone Number
704-763-2059
Fax Number
person
Provider Business Mailing Address Details
Address
4732 Lebanon Rd Ste D
City
Mint Hill
State
North Carolina
Zip
28227-9112
Phone Number
704-763-2059
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
17320 (North Carolina)
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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