Kandy Kay Wagner, MT is a
Massage Therapist based in St. Clair Shores, Michigan. Kandy Kay Wagner is licensed to practice in Michigan (license number 332924-00) and her current practice location is
21526 Harper Ave, St. Clair Shores, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 242-5729.
NPI number for Kandy Kay Wagner is 1306166723 and her current mailing address is 38815 Lakeshore Drive, Harrison Township, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306166723.
Healthcare Provider's Profile
Full Name | Kandy Kay Wagner |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 21526 Harper Ave, St. Clair Shores, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306166723
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 06/08/2010
Medical Identifiers
Medical identifiers for Kandy Kay Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306166723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 332924-00 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kandy Kay Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kandy Kay Wagner, MT 38815 Lakeshore Drive, Harrison Township, MI 48045 Ph: (586) 242-5729 | Kandy Kay Wagner, MT 21526 Harper Ave, St. Clair Shores, MI 48080 Ph: (586) 242-5729 |
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