Individual provider · Type 1 NPI

Louisa Rose Wagaman

Massage Therapist · Ozark, MO

NPI number 1629923016 Active

Practice location

5000 N 22nd St
Ozark, MO 65721-5116

Mailing address

812 E Dyann Dr
Nixa, MO 65714-9323

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2025045787 (MO)

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 1629923016

Louisa Rose Wagaman's National Provider Identifier is 1629923016, issued on Mar 2, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ozark, MO. The record was last updated on Mar 2, 2026.