# SARA WAGNER DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sara Wagner, DO PLLC Osteopathic Manipulative Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962180364
- **Authorized official:** DR. SARA WAGNER DO (PHYSICIAN, OWNER)
- **Authorized official phone:** (425) 736-5848

## Contact information

- **Practice address:** 11922 98TH AVE NE, KIRKLAND, WA 98034-4211
- **Practice address phone:** (425) 324-9191
- **Mailing address:** 11922 98TH AVE NE, KIRKLAND, WA 98034-4211
- **Mailing address phone:** (425) 324-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 07/11/2023