IndividualActive
Erica Wagoner, LMP
NPI 1497843296 · Massage Therapist · Kennewick, WA
Provider details
- NPI number
- 1497843296
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- License
- MA00016506 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
552 N Colorado St
Ste. 200
Kennewick, WA 99336-7779
Phone: (509) 736-6060
Fax: (509) 736-3939
Street-level locationGet directions
Mailing address
4208 Meadowview Dr
Pasco, WA 99301-9523
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.