Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACY JAYE WAGGONER, LMT
Active Sole ProprietorLACY JAYE WAGGONER, LMT is a Massage Therapist healthcare provider located in OREGON, Missouri. NPI 1619482015 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · OREGON, MO
Registration Details
- NPI Number
- 1619482015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2017 (8.6797243272227 yrs)
- Last Updated
- Dec 6, 2017
- License
-
2013033098 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 E NODAWAY STOREGON, MO, 644739602Browse MO providers · Browse ZIP 64473
- Phone
- 6605720433
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.