Individual provider · Type 1 NPI

Felecia Zanetta Wallace, LMT, CMT

Massage Therapist · Atlanta, GA

NPI number 1134317514 Active

Practice location

1605 Silver Petal Way
Atlanta, GA 30349-7502

Call (404) 933-6780 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT001218 (GA)

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 1134317514

Felecia Zanetta Wallace, LMT, CMT's National Provider Identifier is 1134317514, issued on Oct 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 10, 2007.