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LACY JUANELLA WAGNER MASSAGE THERAPIST
NPI 1376200410
Massage Therapist in Yakima, WA

Active since November 23, 2021
3908 CREEKSIDE LOOP STE 110, YAKIMA, WA 98902(509) 571-1081 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacy Juanella Wagner Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY JUANELLA WAGNER MASSAGE THERAPIST (NPI 1376200410) is an individual massage therapist in Yakima, Washington, licensed in Washington (MA61205126) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1376200410
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLACY JUANELLA WAGNERCredential: MASSAGE THERAPIST
Location Address3908 CREEKSIDE LOOP STE 110Yakima, WA 98902-4858
Mailing Address808 W Orchard AveSelah, WA 98942-1266 · (509) 949-2916
Phone(509) 571-1081
Sole ProprietorNo
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1376200410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA61205126
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.
3908 CREEKSIDE LOOP STE 110, Yakima, WA 98902
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE MARIE HOLWEGNER LMT
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 952-8505
AMBER DEETER LMP
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
LISA BADE LMT
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
VICTORIA ARANDA LMT
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
SARAH DANJANIC LMT
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
KATHLENE MOORE
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
DAVID GLESENER
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081
TAYLOR WELLER
Massage Therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902
Yakima County (509) 571-1081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Wagner's NPI number?

The NPI number for Lacy Wagner is 1376200410. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Lacy Wagner located?

Lacy Wagner practices at 3908 Creekside Loop Ste 110, Yakima, WA 98902. The listed phone number is (509) 571-1081.

What is Lacy Wagner's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Lacy Wagner was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.