Linda Maria Wagner, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16011 Issued in MT

Practice address

428 Nucleus Ave
Columbia Falls, MT 59912-4007

Phone

(406) 250-4876

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Linda Maria Cadicamo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1720629942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 GREATVIEW DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018954",
            "telephone_number": "406-250-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NUCLEUS AVE",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124007",
            "telephone_number": "406-250-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "16011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "CADICAMO",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizebeth E Trueblood, P.T.
• Jinise Trueblood, DPT
• Megan Claire Tunney, OTR/L
• Megan Upton
• Malena Vincent, PTA
• William Walker, MA, NCC, LCPC
• Keltie Warren, DC
• Paul Webb
• Shiloh Widhalm, RN
• Tawn Williams

• Massage Therapist in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.