LACY JAYE WAGGONER LMT NPI 1619482015

NPI Information

  • NPI: 1619482015
  • Provider Name: LACY JAYE WAGGONER, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 601 E NODAWAY ST
    OREGON, MO
    ZIP 64473
  • Phone: (660) 572-0433

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NPI Details

Lacy Jaye Waggoner, LMT is a massage therapist in Oregon, MO. The provider is 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. Lacy Jaye Waggoner, LMT NPI is 1619482015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 E NODAWAY ST
OREGON, MO
ZIP 64473-602
Phone: (660) 572-0433

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist2013033098MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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