Individual
CHARLOTTE L. WAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
9315 GRAVELLY LAKE DR SW STE 203, LAKEWOOD, WA 98499-1502
(253) 581-5200
(253) 581-5203
Mailing address
7351 23RD AVE NW, SEATTLE, WA 98117-5661
(253) 581-5200
(253) 581-5203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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