Individual
LOUISA ROSE WAGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 N 22ND ST, OZARK, MO 65721-5116
(417) 210-0539
Mailing address
812 E DYANN DR, NIXA, MO 65714-9323
(417) 210-0539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2025045787
MO
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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