Individual provider · Type 1 NPI

Lacy Juanella Wagner, MASSAGE THERAPIST

Massage Therapist · Yakima, WA

NPI number 1376200410 Active

Practice location

3908 Creekside Loop Ste 110
Yakima, WA 98902-4858

Call (509) 571-1081 Map

Mailing address

808 W Orchard Ave
Selah, WA 98942-1266

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61205126 (WA)

Massage Therapist: 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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About NPI 1376200410

Lacy Juanella Wagner, MASSAGE THERAPIST's National Provider Identifier is 1376200410, issued on Nov 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yakima, WA. The record was last updated on Nov 23, 2021.