NPI 1679435028

Jason Clark Lage, BCTMB

Practitioner Reflexologist Saint Cloud, MN

Practice location

Address: 2700 1st St N STE 101, Saint Cloud, MN 56303-4202
Phone: (605) 786-5327
Mailing address: 10720 W Lake Rd, Rice, MN 56367-8668

Registered specialties (2)

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence HMGT24-0060 (MN)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence HMGT24-0060 (MN)

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Registry record

NPI: 1679435028
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2025
Record last updated: 24 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.