Individual
MRS. MARISSA SUE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 N STATE ROAD 127, ANGOLA, IN 46703
(517) 278-2519
Mailing address
408 FOX ROAD, COLDWATER, MI 49036
(517) 278-2519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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