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LACY JAYE WAGGONER LMT
NPI 1619482015
Massage Therapist in Oregon, MO

Active since December 06, 2017
601 E NODAWAY ST, OREGON, MO 64473(660) 572-0433 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacy Jaye Waggoner Lmt NPPES

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

LACY JAYE WAGGONER LMT (NPI 1619482015) is an individual massage therapist in Oregon, Missouri, licensed in Missouri (2013033098) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1619482015
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLACY JAYE WAGGONERCredential: LMT
Location Address601 E NODAWAY STOregon, MO 64473-9602
Mailing Address200 Oakland StOregon, MO 64473-9200 · (660) 446-2650
Phone(660) 572-0433
Sole ProprietorYes
Enumeration DateDecember 6, 2017
✔ NPI 1619482015 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 MO · 2013033098
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.
601 E NODAWAY ST, Oregon, MO 64473
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Other Providers at the Same Location NPPES

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

AMANDA KURTZ
Nurse Practitioner (Primary Care)
601 E NODAWAY ST
OREGON, MO 64473
Holt County (816) 676-8148

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 Waggoner's NPI number?

The NPI number for Lacy Waggoner is 1619482015. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Lacy Waggoner located?

Lacy Waggoner practices at 601 E Nodaway St, Oregon, MO 64473. The listed phone number is (660) 572-0433.

What is Lacy Waggoner'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 Waggoner was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.