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Lacy Jaye Waggoner, LMT
Massage Therapist in Oregon, Missouri
NPI 1619482015

Lacy Jaye Waggoner is a Massage Therapist based in Oregon, MO. Lacy Jaye Waggoner practices in Oregon, MO and has the professional credentials of LMT. The NPI Number for Lacy Jaye Waggoner is 1619482015 and holds a License No. 2013033098 (Missouri).

The current practice location address for Lacy Jaye Waggoner is 601 E Nodaway St, Oregon, MO and can be reached out via phone at 660-572-0433.

Location: 601 E Nodaway St, Oregon, MO, 64473-9200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619482015
Provider Name
Lacy Jaye Waggoner
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
601 E Nodaway St, Oregon, MO, 64473-9200
Phone Number
660-572-0433
Fax Number
Provider Enumeration Date
12/06/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 E Nodaway St
City
Oregon
State
Missouri
Zip
64473-9602
Phone Number
660-572-0433
Fax Number
person
Provider Business Mailing Address Details
Address
601 E Nodaway St
City
Oregon
State
Missouri
Zip
64473-9602
Phone Number
660-572-0433
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2013033098 (Missouri)
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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