Individual provider · Type 1 NPI

Kore Io Eliza Wallace, LMP, MMP

Massage Therapist · Burnsville, NC

NPI number 1235489345 Active

Practice location

120 Thimbleberry Holw
Burnsville, NC 28714-6362

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X09118 (NC)

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 1235489345

Kore Io Eliza Wallace, LMP, MMP's National Provider Identifier is 1235489345, issued on Sep 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burnsville, NC. The record was last updated on Sep 16, 2012.