Jennifer Lynne Waggoner in Yacolt - Massage Therapist
Jennifer Lynne Waggoner - NPI 1770788853
Jennifer Lynne Waggoner is a Massage Therapist in Yacolt, Washington. Jennifer Lynne Waggoner practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jennifer Lynne Waggoner is 1770788853. The last update date is 2007-07-08.
Jennifer Lynne Waggoner's current location address is 30919 Ne Spring Hill Rd, Yacolt, Washington. You can contact this provider via phone number 3606358284. The mailing address for Jennifer Lynne Waggoner is 30919 Ne Spring Hill Rd, Yacolt, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynne Waggoner |
|---|---|
| Address | 30919 Ne Spring Hill Rd, Yacolt, Washington |
| Phone Number | 3606358284 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1770788853 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30919 Ne Spring Hill Rd |
|---|---|
| City | Yacolt |
| State | Washington (WA) |
| Post Code | 986753004 |
| Phone Number | 3606358284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00023736 |
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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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Post Comment/ Review Below
What is the Jennifer Lynne Waggoner's unique identification number?
The Jennifer Lynne Waggoner has been assigned the NPI (National Provider Identifier) Number 1770788853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jennifer Lynne Waggoner's facilities are geographically located?
The facilities of Jennifer Lynne Waggoner are physically situated at the following location: 30919 Ne Spring Hill Rd, Yacolt, WA, 986753004.
What is Jennifer Lynne Waggoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Lynne Waggoner is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770788853 to Jennifer Lynne Waggoner?
The Jennifer Lynne Waggoner received its 1770788853 assignment from the Centers for Medicare & Medicaid Services on 2007-06-18.
As of what date was the information pertaining to Jennifer Lynne Waggoner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Lynne Waggoner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.