Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kandy Kay Wagner, MT

Individual provider Massage Therapist · NPI 1306166723

Kandy Kay Wagner, MT is a Massage Therapist in St Clair Shores, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

21526 Harper Ave
St Clair Shores, MI 48080
Phone: (586) 242-5729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 332924-00 (MI)

Record details

NPI number1306166723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESJune 8, 2010