LESLIE MICHELLE WAGNER (NPI# 1023139326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023139326 |
| Entity Type | Individual |
| Full Name | LESLIE MICHELLE WAGNER |
| Credential | LMT |
| Practice Address |
2710 Civic Cir Amarillo TX 79109-1648 |
| Mailing Address |
2114 S Tyler St Amarillo TX 79109-2633 |
| Practice Telephone | 8062367234 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT042949 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720293723 | Leslie Wagner | Speech-Language Pathologist | 55 Tiemann Pl, Apt # 55, New York, NY 10027-3332 | 2007-05-11 |
| 1013033398 | Leslie Ann Wagner | Psychologist | 533 Saint Clair St, Grosse Pointe, MI 48230-1503 | 2007-03-21 |
| 1740788397 | Leslie Wagner | Speech-Language Pathologist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-01-30 |
| 1639699036 | Leslie A Wagner | Dentist | 1212 N Cole Rd, Boise, ID 83704-8646 | 2017-06-27 |
| 1952841678 | Leslie Wagner | Social Worker | 658 Kenilworth Dr, Suite 206, Towson, MD 21204-2312 | 2017-02-28 |
| 1033303938 | Leslie Wagner | Registered Nurse | 9333 Tech Center Dr, Suite 800, Sacramento, CA 95826-2583 | 2007-09-04 |
| Street Address |
2710 CIVIC CIR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1447893656 | Anita Diaz Trevino | Massage Therapist | 3323 Bell St Ste E, Amarillo, TX 79106-5031 | 2019-10-21 |
| 1225595846 | Charlotte Hallmark | Massage Therapist | 3438 S Western St, Amarillo, TX 79109-4438 | 2019-03-01 |
| 1356807580 | Jonathan D Saavedra | Massage Therapist | 2930 S Western St, Amarillo, TX 79109-3238 | 2019-02-12 |
| 1679068357 | Gentri Armstrong | Massage Therapist | 6666 W Amarillo Blvd Unit 1, Amarillo, TX 79106-1752 | 2018-06-26 |
| 1568979185 | David Geoffrey Rabson | Massage Therapist | 1901 Medi Park Dr Ste 1036, Amarillo, TX 79106-2108 | 2018-01-04 |
| 1295983682 | Lynn Robert Slaughter | Massage Therapist | 9201 Rj Dr, Amarillo, TX 79119-3883 | 2008-08-28 |
| 1023273802 | Susan Folker | Massage Therapist | 530 Sw 45th Ave, Amarillo, TX 79110-2113 | 2008-07-22 |
| 1285825109 | Earl Leonard Loar | Massage Therapist | 4005 Sw 50th Ave, Amarillo, TX 79109-6125 | 2007-08-06 |
| 1497892889 | Charles Cavitte Houston Jr. | Massage Therapist | 2710 Civic Cir Ste 7, Amarillo, TX 79109-1648 | 2007-02-01 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.