NPI 1013756824

Kelsey Ruth Wagner

Practitioner Student in an Organized Health Care Education/Training Program Tacoma, WA

Practice location

Address: 5915 Orchard St W, Tacoma, WA 98467-3824
Phone: (253) 414-7461
Mailing address: 9005 120th Street CT E, Puyallup, WA 98373-7908

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Registry record

NPI: 1013756824
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2024
Record last updated: 21 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.