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James Wagoner, LMP
Massage Therapist in Olympia, Washington
NPI 1497797120

James Wagoner is a Massage Therapist based in Lacey, WA. James Wagoner practices in Olympia, WA and has the professional credentials of LMP. The NPI Number for James Wagoner is 1497797120 and holds a License No. (Washington).

The current practice location address for James Wagoner is 1800 Cooper Point Rd Sw, Olympia, WA and can be reached out via phone at 360-956-1100 and via fax at 360-956-1113. You can also correspond with James Wagoner through the mailing address at 5210 CORPORATE CENTER LOOP SE, LACEY, WA - 98503-5952 (mailing address contact number: 360-455-8155).

Location: 1800 Cooper Point Rd Sw, Olympia, WA, 98503-5952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497797120
Provider Name
James Wagoner
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
1800 Cooper Point Rd Sw, Olympia, WA, 98503-5952
Phone Number
360-956-1100
Fax Number
360-956-1113
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0211977 01 WA DEPT. OF LABOR & INDUSTRY
6619WA 01 WA REGENCE BLUE SHIELD
8947908 01 WA L&I CRIME VICTIMS
institution
Provider Business Practice Location Address Details
Address
1800 Cooper Point Rd Sw
City
Olympia
State
Washington
Zip
98502-1178
Phone Number
360-956-1100
Fax Number
360-956-1113
person
Provider Business Mailing Address Details
Address
1800 Cooper Point Rd Sw
City
Olympia
State
Washington
Zip
98502-1178
Phone Number
360-956-1100
Fax Number
360-956-1113
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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