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Mrs. Suzie Nicole Wagner, LMT
Massage Therapist in Grants Pass, Oregon
NPI 1578755427

Suzie Nicole Wagner is a Massage Therapist based in Grants Pass, OR. Suzie Nicole Wagner practices in Grants Pass, OR and has the professional credentials of LMT. The NPI Number for Suzie Nicole Wagner is 1578755427 and holds a License No. 11194 (Oregon).

The current practice location address for Suzie Nicole Wagner is 745 Ne 7Th St, Grants Pass, OR and can be reached out via phone at 541-441-1224.

Location: 745 Ne 7Th St, Grants Pass, OR, 97526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578755427
Provider Name
Suzie Nicole Wagner
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
745 Ne 7Th St, Grants Pass, OR, 97526
Phone Number
541-441-1224
Fax Number
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
745 Ne 7Th St
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-441-1224
Fax Number
person
Provider Business Mailing Address Details
Address
745 Ne 7Th St
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-441-1224
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11194 (North Dakota)
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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