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

Lacy Jaye Waggoner, LMT

Individual provider Massage Therapist · NPI 1619482015

Lacy Jaye Waggoner, LMT is a Massage Therapist in Oregon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

601 E Nodaway St
Oregon, MO 64473-9602
Phone: (660) 572-0433
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2013033098 (MO)

Record details

NPI number1619482015
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address200 Oakland St, Oregon, MO 64473-9200