Individual provider · Type 1 NPI

Erica Y. Wagoner, LMP

Massage Therapist · Kennewick, WA

NPI number 1497843296 Active

Practice location

552 N Colorado St, Ste. 200
Kennewick, WA 99336-7779

Call (509) 736-6060 Map

Fax (509) 736-3939

Mailing address

4208 Meadowview Dr
Pasco, WA 99301-9523

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00016506 (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 1497843296

Erica Y. Wagoner, LMP's National Provider Identifier is 1497843296, issued on Oct 10, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kennewick, WA. The record was last updated on Jul 8, 2007.