Individual provider · Type 1 NPI

Shelby Wallace, LMP

Massage Therapist · Clarkston, WA

NPI number 1386229672 Active

Practice location

919 Highland Ave
Clarkston, WA 99403-2762

Call (509) 758-9214 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61147629 (WA)

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 1386229672

Shelby Wallace, LMP's National Provider Identifier is 1386229672, issued on Mar 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clarkston, WA. The record was last updated on Jun 23, 2021.