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

Mrs. Jaclyn June Monge Southard, LMT

Individual provider Mechanotherapist · NPI 1497936546

Mrs. Jaclyn June Monge Southard, LMT is a Mechanotherapist in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

4520 Intelco Loop SE Bldg 3
Lacey, WA 98503-6008
Phone: (360) 388-0485
Fax: (360) 890-4066
Show map & directions

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

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence MA00023326 (WA)

Record details

NPI number1497936546
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedNovember 16, 2007
Last updated in NPPESNovember 22, 2020
Certification dateNovember 22, 2020

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