IndividualActive
Angela Wagner
NPI 1437565025 · Massage Therapist · Herrin, IL
Provider details
- NPI number
- 1437565025
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 227010956 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3313 Patriot Ct
Herrin, IL 62948-3782
Phone: (618) 993-9910
Fax: (618) 993-2774
Approximate (ZIP-level) locationGet directions
Mailing address
3313 Patriot Ct
Herrin, IL 62948-3782
Registry dates
- Enumerated
- 2014-07-03
- Last updated
- 2014-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.