Individual provider · Type 1 NPI

Laura Waller, LMT

Massage Therapist · Syracuse, NY

NPI number 1144612201 Active

Practice location

7293 Buckley Rd Ste 102
Syracuse, NY 13212-2648

Call (315) 937-5954 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023440 (NY)
Massage Therapist 225700000X7501006233 (MI)

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.

4 other providers at this address

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About NPI 1144612201

Laura Waller, LMT's National Provider Identifier is 1144612201, issued on Feb 26, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Syracuse, NY. The record was last updated on Oct 5, 2023.