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

Lacy Juanella Wagner, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1376200410

Lacy Juanella Wagner, MASSAGETHERAPIST is a Massage Therapist in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

3908 Creekside Loop Ste 110
Yakima, WA 98902-4858
Phone: (509) 571-1081
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61205126 (WA)

Record details

NPI number1376200410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Other providers in Yakima