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

Mrs. Suzie Nicole Wagner, LMT

Individual provider Massage Therapist · NPI 1578755427

Mrs. Suzie Nicole Wagner, LMT is a Massage Therapist in Grants Pass, Oregon. Practices as a sole proprietor. Licensed in North Dakota and Oregon.

Licensed in
ND, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

745 NE 7th St Ste 3
Grants Pass, OR 97526
Phone: (541) 441-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11194 (OR)
Massage Therapist Taxonomy 225700000X · Licence 11194 (ND)

Record details

NPI number1578755427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 15, 2007
Last updated in NPPESJanuary 25, 2018

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