Individual provider · Type 1 NPI

Bianca Nichole Wallace

Massage Therapist · Fayetteville, AR

NPI number 1063242337 Active

Practice location

31 E Center St Ste 205
Fayetteville, AR 72701-5385

Call (479) 388-1513 Map

Specialties and licenses

TaxonomyCodeLicense
Doula 374J00000XNone listed
Massage Therapist Primary 225700000X9289 (AR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1063242337

Bianca Nichole Wallace's National Provider Identifier is 1063242337, issued on Aug 2, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 2, 2024.