Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962829010 Individual Practitioner Female Practitioner

Tiffany Wagner , LMP

Specialist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Tiffany Wagner, LMP is a registered healthcare professional specializing in Specialist in Puyallup, WA. Practice services are available at 2717 E MAIN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2717 E Main

Puyallup, WA 983723165

Telephone 2532790424
Associated Practice Facility / Clinic
🏢 Evercare Massage Therapy Facility NPI 1780016063

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Puyallup, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA60449726

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1306229687
NPI 1366860405

Master of Arts

Autumn Bachner , LMP

Massage Therapist

NPI 1427595552

Licensed Massage Practitioner

NPI 1598106114

Licensed Massage Practitioner

Christina Mchugh

Massage Therapist

NPI 1760917694
Kayla Hurrle , LMT

Massage Therapist

NPI 1972002475

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2014

Registered at 2717 E MAIN, PUYALLUP, WA 983723165 (Tel: 2532790424)

📍
Updated Business Mailing Address March 26, 2014

Registered at 2717 E MAIN, PUYALLUP, WA 983723165 (Tel: 2532790424)

👤
Provider Name / Credentials Updated March 26, 2014

Recorded as TIFFANY WAGNER, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Specialist (License #MA60449726 in WA)

🟢
Initial NPI Registration & Enumeration March 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962829010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2014
Last Update: March 26, 2014
Sole Proprietor: No

Mailing Address

2717 E Main

Puyallup, WA 983723165

Phone: 2532790424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.