Individual
ANNA ELIZABETH WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1842 FISHER AVE, INDIANAPOLIS, IN 46224-5612
(317) 728-8121
Mailing address
5869 NASH LN, INDIANAPOLIS, IN 46224-5308
(317) 728-8121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104026
IN
Other
Enumeration date
03/26/2012
Last updated
04/01/2025
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