Individual provider · Type 1 NPI

James Wagoner, LMP

Massage Therapist · Olympia, WA

NPI number 1497797120 Active

Practice location

1800 Cooper Point Rd SW, #21
Olympia, WA 98502-1178

Call (360) 956-1100 Map

Fax (360) 956-1113

Mailing address

5210 Corporate Center Loop SE, Suite D
Lacey, WA 98503-5952

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1497797120

James Wagoner, LMP's National Provider Identifier is 1497797120, issued on Jun 10, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Jan 16, 2009.