James Wagoner is a Massage Therapist in Olympia, Washington. James Wagoner practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for James Wagoner is 1497797120. The last update date is 2009-01-16.
James Wagoner's current location address is 1800 Cooper Point Rd Sw, Olympia, Washington. You can contact this provider via phone number 3609561100 and fax number 3609561113. The mailing address for James Wagoner is 1800 Cooper Point Rd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Wagoner |
|---|---|
| Address | 1800 Cooper Point Rd Sw, Olympia, Washington |
| Phone Number | 3609561100 |
| Fax Number | 3609561113 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1497797120 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2009-01-16 |
Provider Mailing Address Detail
| Address | 1800 Cooper Point Rd Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985021178 |
| Phone Number | 3609561100 |
| Fax Number | 3609561113 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 211977 | WA | DEPT. OF LABOR & INDUSTRY | |
| 6619WA | WA | REGENCE BLUE SHIELD | |
| 8947908 | WA | L&I CRIME VICTIMS |
Post Comment/ Review Below
What is the unique identification code assigned to James Wagoner by the Centers for Medicare & Medicaid Services?
The James Wagoner has been issued the NPI (National Provider Identifier) 1497797120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of James Wagoner?
The James Wagoner is physically situated at 1800 Cooper Point Rd Sw, in the city of Olympia, state of WA, with the postal code 985021178.
What is the James Wagoner's area of specialization and corresponding taxonomy classification?
The James Wagoner's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did James Wagoner receive its 1497797120 assignment from the Centers for Medicare & Medicaid Services?
The James Wagoner was assigned its 1497797120 on 2006-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding James Wagoner most recently updated?
The details pertaining to the James Wagoner, including its address, specialty, and other relevant information, were last refreshed on 2009-01-16.
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