Individual
DAWN G WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
14438 W CENTER RD, OMAHA, NE 68144-3217
(402) 740-9731
Mailing address
14438 W CENTER RD, OMAHA, NE 68144-3217
(402) 740-9731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1665
NE
Other
Enumeration date
06/16/2009
Last updated
11/23/2021
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