Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Clark Lage, BCTMB

Individual provider Massage Therapist · NPI 1679435028

Jason Clark Lage, BCTMB is a Massage Therapist in Saint Cloud, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2700 1st St N Ste 101
Saint Cloud, MN 56303-4202
Phone: (605) 786-5327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reflexologist (primary) Taxonomy 173C00000X · Licence HMGT24-0060 (MN)
Massage Therapist Taxonomy 225700000X · Licence HMGT24-0060 (MN)

Record details

NPI number1679435028
Entity typeIndividual (Type 1)
GenderMale
Credentials BCTMB
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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